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MRI Lumbar Spine Sample ReportPATIENT: DATE OF BIRTH: REFERRING PHYSICIAN: EXAM DATE:DOE, REGINA 1/4/1967 BANNER, ROSS, MD 1/1/2013PATIENT ID: 146713EXAMINATION:MRI Lumbar SpineINDICATION: Chronic
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How to fill out mri lumbar spine report

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How to fill out MRI lumbar spine report:

01
Begin by stating the patient's demographic information such as name, age, gender, and medical history.
02
Include a detailed description of the MRI procedure, including the type of machine used, any contrast agents administered, and the imaging protocols followed.
03
Describe the imaging findings of the lumbar spine, noting any abnormalities or pathology observed in each segment of the spine.
04
Provide a comprehensive assessment and interpretation of the MRI images, considering the relationship between the observed findings and the patient's symptoms or clinical presentation.
05
Conclude the report by summarizing the main findings and making recommendations for further evaluation or treatment, if necessary.

Who needs an MRI lumbar spine report:

01
Orthopedic surgeons- for evaluation and diagnosis of spine disorders, herniated discs, or spinal deformities.
02
Neurosurgeons- to guide surgical planning and decision-making for conditions like spinal tumors or nerve root impingements.
03
Pain management specialists- to identify the source of back or leg pain and determine appropriate treatment options.
04
Rheumatologists- for assessment of inflammatory conditions affecting the spine, such as ankylosing spondylitis.
05
Primary care physicians- to aid in the diagnosis and management of various lumbar spine conditions and guide further referral if necessary.
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Most of the time, abnormal results are due to: Herniated or "slipped" disk (lumbar radiculopathy) Narrowing of the spinal column (spinal stenosis) Abnormal wearing on the bones and cartilage in the spine (spondylitis)
A lumbar MRI can indicate the reason a person is experiencing back, leg, or other type of pain. It can show signs of: a congenital or developmental variant, a feature that a person has developed or had since birth. degenerative changes, such as a herniated disk or disk that has broken down, called an annular fissure.
What Abnormal Results Mean. Most of the time, abnormal results are due to: Herniated or "slipped" disk (lumbar radiculopathy) Narrowing of the spinal column (spinal stenosis) Abnormal wearing on the bones and cartilage in the spine (spondylitis)
A lumbar MRI can indicate the reason a person is experiencing back, leg, or other type of pain. It can show signs of: a congenital or developmental variant, a feature that a person has developed or had since birth. degenerative changes, such as a herniated disk or disk that has broken down, called an annular fissure.
An MRI will often show unexpected causes of hip pain that may be originating from other nearby structures like the sacroiliac joints, pubic bones, or even the lower lumbar spine.
0:00 6:57 How to Read an MRI Scan of the Lumbar Spine - Lower Back (Part 1) YouTube Start of suggested clip End of suggested clip This is one of the most commonly ordered scans. We do and I like to start with a view or we lookMoreThis is one of the most commonly ordered scans. We do and I like to start with a view or we look straight at the patient here. And it's called a coronal image and on the colonel.

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An MRI lumbar spine report is a detailed document generated by a radiologist after analyzing MRI images of the lumbar spine. It includes observations on the condition of the vertebrae, discs, and surrounding soft tissues, highlighting any abnormalities or issues.
Typically, healthcare providers such as physicians, surgeons, or specialists who order the MRI are responsible for ensuring that the MRI lumbar spine report is filed appropriately. It is part of the patient's medical records.
Filling out an MRI lumbar spine report involves documenting patient information, details of the MRI procedure, findings from the imaging analysis, and any conclusions or recommended follow-up actions. Accurate and clear language should be used throughout the report.
The purpose of the MRI lumbar spine report is to provide a thorough assessment of the lumbar spine's health, assisting in diagnosing conditions, planning treatment options, and monitoring the effects of interventions.
An MRI lumbar spine report must include the patient's demographics, imaging technique used, the findings such as disc herniations, spinal stenosis, or abnormalities, impressions or interpretations by the radiologist, and recommendations for further action if necessary.
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