Pediatric X-Ray of Left Wrist - 5 Views

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:  
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:  
  - L1-L2, L2-L3, L3-L4: No significant disc bulge or herniation.  
  - L4-L5: Mild disc bulge with minimal effacement of 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. Mild narrowing of the right neural foramen at L5-S1 due to disc herniation.  
- Soft Tissues: No abnormal paraspinal soft tissue masses.  
  
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 without significant neural compromise.  
  
Recommendations:  
Consider referral to a spine specialist for further evaluation and management, including potential surgical consultation if symptoms persist or worsen.  
  
Radiologist: Dr. Emily Johnson  
Date of Report: October 16, 2023