Left Scapula X-Ray: Two Views 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  
Examination: MRI of the Lumbar Spine  
  
Clinical Indication:  
Chronic lower back pain with radiculopathy. Rule out disc herniation or spinal stenosis.  
  
Technique:  
MRI of the lumbar spine was performed without contrast using standard T1, T2, and STIR sequences in sagittal and axial planes.  
  
Findings:  
- Alignment: Normal lumbar lordosis is maintained. No evidence of spondylolisthesis.  
- Vertebrae: Vertebral body heights are preserved. No acute fractures or marrow signal abnormalities.  
- Discs:  
  - L1-L2: No significant disc bulge or herniation.  
  - L2-L3: Mild disc bulge without significant canal or foraminal stenosis.  
  - L3-L4: Moderate disc bulge with mild central canal stenosis.  
  - L4-L5: Broad-based disc protrusion with moderate central canal stenosis and mild bilateral foraminal narrowing.  
  - L5-S1: Mild disc degeneration with no significant stenosis.  
- Spinal Canal: No evidence of significant spinal canal stenosis at any level.  
- Neural Foramina: Mild narrowing at L4-L5 bilaterally.  
- Soft Tissues: Paraspinal soft tissues are unremarkable.  
  
Impression:  
1. Moderate disc bulge at L3-L4 with mild central canal stenosis.  
2. Broad-based disc protrusion at L4-L5 with moderate central canal stenosis and mild bilateral foraminal narrowing.  
3. Mild degenerative changes at L5-S1 without significant stenosis.  
  
Recommendations:  
Clinical correlation is advised. Consideration for neurosurgical consultation if symptoms persist or worsen.  
  
Radiologist: Dr. Emily Carter  
Date of Report: 10/21/2023