Pediatric X-Ray Left Hand - 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 intermittent radiculopathy in the left leg. 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. Mild degenerative changes noted with endplate sclerosis at L4-L5 and L5-S1.  
- Intervertebral Discs:  
  - L1-L2, L2-L3, L3-L4: No significant disc bulge or herniation.  
  - L4-L5: Mild diffuse disc bulge with minimal indentation on the thecal sac. No significant foraminal narrowing.  
  - L5-S1: Moderate disc degeneration with a small central disc protrusion mildly indenting the thecal sac. No nerve root impingement observed.  
- Spinal Canal and Neural Foramina: No significant spinal canal stenosis. Neural foramina are patent at all levels.  
- Soft Tissues: Paraspinal soft tissues appear unremarkable.  
  
Impression:  
1. Mild degenerative changes at L4-L5 and L5-S1 with a small central disc protrusion at L5-S1, without significant nerve root impingement.  
2. No evidence of significant spinal canal stenosis or acute disc herniation.  
  
Recommendations:  
Clinical correlation is advised. Consider conservative management with physical therapy. Follow-up imaging may be warranted if symptoms persist or worsen.  
  
Radiologist: Dr. Emily Carter  
Date of Report: 10/21/2023