Pediatric Right Hand X-Ray Single View 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:  
The patient presents with chronic lower back pain radiating to the left leg, with a history of lumbar disc herniation. The examination is requested to evaluate for any degenerative changes or nerve root compression.  
  
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: The vertebral bodies are of normal height and signal intensity. No fractures or lesions are identified.  
- Intervertebral Discs:  
  - L3-L4: Mild disc bulge without significant canal or foraminal stenosis.  
  - L4-L5: Moderate disc herniation with left paracentral protrusion, causing mild compression of the left L5 nerve root.  
  - L5-S1: Mild disc degeneration with no significant herniation or stenosis.  
- Spinal Canal and Neural Foramina: The spinal canal is of normal caliber. Mild narrowing of the left L4-L5 neural foramen is noted.  
- Soft Tissues: No abnormal paraspinal soft tissue masses are observed.  
  
Impression:  
1. Moderate left paracentral disc herniation at L4-L5 with mild compression of the left L5 nerve root, correlating with the patient's symptoms of left leg radiculopathy.  
2. Mild degenerative changes at L3-L4 and 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