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Radiology Specialist
30-45 minutes

MRI of the Cervical Spine Without Contrast

The MR Cervical Spine Without Contrast template is an essential tool for clinicians seeking to enhance diagnostic accuracy and streamline patient care in cases of cervical spine disorders. This template is meticulously designed to capture high-resolution images that aid in the evaluation of spinal cord abnormalities, disc herniations, and degenerative changes without the need for contrast agents. By adopting this template, healthcare professionals can efficiently assess conditions such as cervical radiculopathy, myelopathy, and trauma-related injuries, ensuring precise diagnosis and optimal treatment planning. Explore the benefits of implementing this advanced imaging protocol to improve patient outcomes and elevate your practice's diagnostic capabilities.

4,582 uses
4.9/5.0
D
Dr. Caroline Mitchell
Template Structure

Organized sections for comprehensive clinical documentation

[Patient Name: ___________________]
[Date of Birth: ___________________]
[Date of Exam: ___________________]
[Referring Physician: ___________________]
Clinical Indication:
[Insert clinical indication]
Technique:
- [Insert imaging technique]
- [Insert any contrast used]
Findings:
- [Insert findings]
Impression:
- [Insert impressions]
Recommendations:
- [Insert recommendations]
Radiologist:
[Name of Radiologist]
[Signature]
[Date]
Sample Clinical Note

Example of completed documentation using this template

Radiology Report  
  
Patient Name: John Doe  
Patient ID: 123456  
Date of Examination: October 15, 2023  
Referring Physician: Dr. Smith  
Examination: MRI of the Lumbar Spine  
  
Clinical History:  
The patient is a 45-year-old male presenting with chronic lower back pain radiating to the left leg. Symptoms have persisted for the past three months, with no significant relief from physical therapy or medication.  
  
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 alignment of the lumbar spine is maintained.  
- Vertebral Bodies: No evidence of fracture or significant marrow signal abnormality. Mild degenerative changes are noted.  
- Intervertebral Discs:  
  - L4-L5: Mild disc bulge with no significant spinal canal stenosis.  
  - L5-S1: Moderate disc herniation with impingement on the left S1 nerve root.  
- Spinal Canal and Neural Foramina: No significant spinal canal stenosis. Mild narrowing of the left neural foramen at L5-S1.  
- Paraspinal Soft Tissues: Unremarkable.  
  
Impression:  
1. Moderate 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 degenerative changes in the lumbar spine.  
  
Recommendations:  
Consider referral to a spine specialist for further evaluation and management, including potential interventional procedures or surgical consultation if symptoms persist.  
  
Radiologist: Dr. Emily Johnson  
Date of Report: October 15, 2023
Clinical Benefits

Key advantages of using this template in clinical practice

  • The MR Cervical Spine Without Contrast template is an essential tool for clinicians seeking to enhance diagnostic accuracy and streamline patient care. This template is meticulously designed to capture high-resolution images of the cervical spine, providing detailed insights into spinal cord abnormalities, disc herniations, and degenerative changes without the need for contrast agents. By adopting this template, healthcare professionals can improve their diagnostic capabilities, leading to more precise treatment plans and better patient outcomes. Explore the benefits of implementing this advanced imaging protocol to elevate your practice and ensure comprehensive cervical spine evaluations.
Frequently Asked Questions

Common questions about this template and its usage

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MRI of the Cervical Spine Without Contrast