Lateral View X-Ray of the Lumbosacral Spine Template

Radiology Report  
  
Patient Name: John Doe  
Patient ID: 123456  
Date of Birth: 01/15/1975  
Date of Examination: 10/20/2023  
  
Referring Physician: Dr. Jane Smith  
Indication: Chronic lower back pain  
  
Examination: MRI Lumbar Spine  
  
Technique:  
Multiplanar, multisequence MRI of the lumbar spine was performed without contrast.  
  
Findings:  
- Alignment: Normal lumbar lordosis is maintained. No evidence of spondylolisthesis.  
- Vertebrae: Vertebral body heights are preserved. No acute fractures or marrow signal abnormalities.  
- Intervertebral Discs:  
  - L1-L2 through L3-L4: Normal disc height and signal.  
  - L4-L5: Mild disc bulge with no significant canal or foraminal stenosis.  
  - L5-S1: Moderate disc degeneration with a small central disc protrusion, mildly indenting the thecal sac. No nerve root impingement.  
- Spinal Canal and Neural Foramina: No significant spinal canal stenosis or neural foraminal narrowing at any level.  
- Soft Tissues: Paraspinal soft tissues are unremarkable.  
  
Impression:  
1. Mild disc bulge at L4-L5 without significant stenosis.  
2. Moderate disc degeneration at L5-S1 with a small central disc protrusion, mildly indenting the thecal sac, but without nerve root impingement.  
3. No acute osseous abnormalities.  
  
Recommendations:  
Clinical correlation is recommended. Consideration for physical therapy and pain management. Follow-up imaging if symptoms persist or worsen.  
  
Radiologist: Dr. Emily Carter  
Date of Report: 10/21/2023