Pediatric X-Ray of Right Wrist - 4 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 radiating to the left leg, with a history of lumbar disc herniation. The examination is requested to evaluate for any recurrent disc pathology 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 vertebral body compression fractures.  
- Vertebrae: Mild degenerative changes are noted with endplate sclerosis and osteophyte formation at L4-L5 and L5-S1 levels.  
- Intervertebral Discs:  
  - At L4-L5, there is a broad-based posterior disc bulge with mild central canal stenosis. No significant foraminal narrowing is observed.  
  - At L5-S1, there is a left paracentral disc protrusion impinging on the left S1 nerve root, correlating with the patient's symptoms.  
- Spinal Canal and Neural Foramina: The remaining levels show no significant spinal canal or foraminal stenosis.  
- Conus Medullaris: Terminates at the L1 level, appearing normal in signal intensity.  
  
Impression:  
1. Left paracentral disc protrusion at L5-S1 with impingement on the left S1 nerve root, consistent with the patient's clinical presentation of left leg radiculopathy.  
2. Mild degenerative changes at L4-L5 and L5-S1 with a broad-based disc bulge at L4-L5 causing mild central canal stenosis.  
  
Recommendations:  
Clinical correlation is advised. Consideration for neurosurgical consultation may be warranted given the nerve root impingement. Physical therapy and pain management options should be explored. Follow-up imaging may be necessary if symptoms persist or worsen.  
  
Radiologist: Dr. Emily Carter  
Date of Report: October 16, 2023