Pediatric X-Ray Right Calcaneus Single View Template

Radiology Report  
  
Patient Name: John Doe  
Patient ID: 123456  
Date of Examination: October 15, 2023  
Referring Physician: Dr. Smith  
Examination: MRI of the Lumbar Spine  
  
Clinical History:  
The patient is a 45-year-old male presenting with chronic lower back pain radiating to the left leg. Symptoms have persisted for the past three 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 alignment of the lumbar spine is maintained.  
- Vertebral Bodies: No evidence of fracture or bone marrow edema. Mild degenerative changes are noted with endplate sclerosis at L4-L5.  
- Intervertebral Discs:  
  - L1-L2, L2-L3, L3-L4: Normal disc height and signal intensity.  
  - L4-L5: Mild disc bulge with no significant spinal canal or foraminal stenosis.  
  - L5-S1: Moderate disc herniation with left paracentral protrusion, causing mild compression of the left S1 nerve root.  
- Spinal Canal and Neural Foramina: No significant spinal canal stenosis. Mild narrowing of the left neural foramen at L5-S1.  
- Paraspinal Soft Tissues: Unremarkable.  
  
Impression:  
1. Moderate disc herniation at L5-S1 with left paracentral protrusion, resulting in mild compression of the left S1 nerve root, correlating with the patient's symptoms.  
2. Mild degenerative changes at L4-L5 without significant stenosis.  
  
Recommendations:  
Consider referral to a spine specialist for further evaluation and management, including potential interventional procedures or surgical consultation if symptoms persist.  
  
Radiologist: Dr. Emily Johnson  
Date of Report: October 15, 2023