Lateral View X-Ray of the Lumbar Spine Template

Radiology Report  
  
Patient Name: John Doe  
Patient ID: 123456  
Date of Examination: October 15, 2023  
Referring Physician: Dr. Jane Smith  
Examination: MRI of the Lumbar Spine  
  
Clinical Indication:  
The patient presents with chronic lower back pain radiating to the left leg, with a history of intermittent numbness and tingling. The clinical suspicion is of lumbar disc herniation.  
  
Technique:  
MRI of the lumbar spine was performed using standard protocol sequences, including T1-weighted, T2-weighted, and STIR images in sagittal and axial planes.  
  
Findings:  
- Alignment: Normal lumbar lordosis is maintained. No evidence of spondylolisthesis.  
- Vertebral Bodies: Normal height and signal intensity of the vertebral bodies. No fractures or lesions identified.  
- Intervertebral Discs:  
  - At L4-L5, there is a broad-based posterior disc protrusion with mild indentation on the thecal sac. No significant neural foraminal narrowing.  
  - At L5-S1, there is a left paracentral disc herniation impinging on the left S1 nerve root.  
- Spinal Canal and Neural Foramina: The spinal canal is of normal caliber. Mild narrowing of the left neural foramen at L5-S1 due to disc herniation.  
- Soft Tissues: No abnormal paraspinal soft tissue masses.  
  
Impression:  
1. Left paracentral disc herniation at L5-S1 with impingement on the left S1 nerve root, correlating with the patient's symptoms of left leg radiculopathy.  
2. Mild broad-based disc protrusion at L4-L5 without significant neural compromise.  
  
Recommendations:  
Clinical correlation is advised. Consideration for neurosurgical consultation if symptoms persist or worsen.  
  
Radiologist: Dr. Emily Carter  
Date of Report: October 16, 2023