Single View X-Ray of the Left Calcaneus 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 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 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 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, and L3-L4 levels show normal disc height and signal.  
  - L4-L5: Mild disc bulge is noted without significant canal stenosis or foraminal narrowing.  
  - L5-S1: There is a moderate left paracentral disc herniation impinging on the left S1 nerve root.  
- Spinal Canal and Neural Foramina: The spinal canal is of normal caliber at all levels except at L5-S1, where there is mild narrowing due to the disc herniation.  
- Conus Medullaris: The conus medullaris terminates at the L1 level and appears normal.  
  
Impression:  
1. Moderate left paracentral disc herniation at L5-S1 with impingement on the left S1 nerve root, correlating with the patient's symptoms of left leg radiculopathy.  
2. Mild disc bulge at L4-L5 without significant stenosis.  
  
Recommendations:  
Clinical correlation is advised. Consideration for neurosurgical consultation may be warranted given the nerve root impingement.  
  
Radiologist: Dr. Emily Johnson  
Date of Report: October 16, 2023