Pediatric X-Ray Left Third Finger 3 Views Template

Radiology Report  
  
Patient Name: John Doe  
Patient ID: 123456  
Date of Examination: October 15, 2023  
Referring Physician: Dr. Jane Smith  
Examination: MRI of the Lumbar Spine  
  
Clinical Indication:  
The patient presents with chronic lower back pain and intermittent numbness in the right leg. The symptoms have persisted for over six months, with no significant relief from physical therapy or medication.  
  
Technique:  
Magnetic Resonance Imaging of the lumbar spine was performed using standard protocol sequences, including T1-weighted, T2-weighted, and STIR images in sagittal and axial planes.  
  
Findings:  
- Vertebral Alignment: Normal alignment of the lumbar vertebrae is observed. No evidence of spondylolisthesis.  
- Bone Marrow Signal: Normal bone marrow signal intensity is noted throughout the lumbar spine.  
- Intervertebral Discs:  
  - L1-L2, L2-L3, L3-L4: No significant disc bulge or herniation.  
  - L4-L5: Mild disc bulge with slight indentation on the thecal sac. No significant neural foraminal narrowing.  
  - L5-S1: Moderate disc herniation with impingement on the right S1 nerve root.  
- Spinal Canal and Neural Foramina: The spinal canal is of normal caliber at all levels except for mild narrowing at L4-L5 due to the disc bulge.  
- Paraspinal Soft Tissues: No abnormal signal or mass effect is noted in the paraspinal soft tissues.  
  
Impression:  
1. Moderate disc herniation at L5-S1 with impingement on the right S1 nerve root, correlating with the patient's symptoms of right leg numbness.  
2. Mild disc bulge at L4-L5 with minimal thecal sac indentation, without significant neural foraminal narrowing.  
  
Recommendations:  
Consider referral to a spine specialist for further evaluation and management. Potential treatment options may include epidural steroid injections or surgical consultation if conservative measures fail.  
  
Radiologist: Dr. Emily Carter  
Date of Report: October 16, 2023