{"id":"69a23425efd4f1d9175042d8","name":"MRI Lumbar Spine with and without Contrast","slug":"mri-lumbar-spine-with-and-without-contrast","description":"Structured template for MRI examination of the lumbar spine including multiplanar imaging without and with gadolinium contrast","category":{"modality":"MRI","system":"Spine"},"tags":["lumbar spine","contrast","gadolinium","disc herniation","stenosis","spinal canal","neural foramina"],"sections":{"title":{"defaultText":"MRI of the Lumbar Spine Without and With Intravenous Contrast","aiInstructions":"Use the examination title as stated in the report header. This is a standard lumbar spine MRI with contrast study."},"clinicalHistory":{"defaultText":"[Patient-specific — populated at report time]","aiInstructions":"Ask the user for: patient age, sex, presenting complaint, relevant clinical history, and reason for the exam. This section contextualizes the entire report. Always include it."},"comparison":{"defaultText":"No prior studies available for comparison.","aiInstructions":"If prior imaging is mentioned in the comparison section, document the specific prior study and date. If the comparison field is blank or states 'none,' use the default text."},"technique":{"defaultText":"Multi-planar MRI of the lumbar spine was performed utilizing axial T1, axial T2, sagittal T1, sagittal T2, and sagittal STIR images without contrast. Following administration of gadolinium, axial and sagittal T1-weighted images were obtained.","aiInstructions":"Preserve the exact sequence names and acquisition planes as stated. Document whether contrast was administered and specify the type (gadolinium). Include pre- and post-contrast sequences as applicable."},"findings":{"defaultText":"Overview of lumbar spine alignment, vertebral body signal, and spinal canal patency.","aiInstructions":"Begin with general observations about lumbar lordosis, vertebral alignment, and bone marrow signal. Then progress systematically through each disc level from L1-L2 to L5-S1. Document specific pathology only where mentioned; use normal descriptors for structures without abnormality.","fields":[{"name":"Lumbar Lordosis and Vertebral Alignment","defaultText":"There is preservation of normal lumbar lordosis. The lumbar vertebral heights and alignment are maintained.","aiInstructions":"Document the presence or absence of normal lumbar lordosis and any abnormalities in vertebral alignment or height. Replace default text if abnormalities such as kyphosis, scoliosis, or height loss are present."},{"name":"Bone Marrow Signal","defaultText":"There is normal bone marrow signal on long and short TR pulse sequences. No expansile or destructive osseous lesion is seen.","aiInstructions":"Describe bone marrow signal intensity on T1 and T2 sequences. Document any focal lesions, fractures, or signal abnormalities. Use default text only if marrow appears normal."},{"name":"Intervertebral Discs","defaultText":"The disc spaces appear relatively well preserved in height and T2 signal intensity. No focal disc herniation is identified.","aiInstructions":"Assess overall disc height, hydration (T2 signal), and presence of bulges or herniations. If specific disc-level pathology is documented in the axial findings section, reference those details. Replace default text if degenerative changes or herniations are present."},{"name":"Spinal Canal","defaultText":"No focal spinal canal stenosis is identified.","aiInstructions":"Document the caliber of the spinal canal and presence or absence of stenosis. Specify location and severity if stenosis is present. Replace default text if narrowing is identified."},{"name":"Neural Foramina","defaultText":"No neural foraminal stenosis is identified.","aiInstructions":"Assess bilateral neural foramina at each level for narrowing or compression. Document if stenosis is present and specify which foramina and at which levels. Replace default text if foraminal narrowing is identified."},{"name":"Conus Medullaris and Spinal Cord","defaultText":"The conus medullaris is located at L1-L2 level and is normal in size and signal. The spinal cord demonstrates normal signal intensity without evidence of myelopathy.","aiInstructions":"Document the termination level of the conus medullaris (normal is typically L1-L2). Describe cord signal on T1 and T2 sequences. Note any abnormal signal, atrophy, or syrinx. Replace default text if abnormalities are present."},{"name":"Cauda Equina","defaultText":"The cauda equina demonstrates a normal configuration.","aiInstructions":"Describe the appearance and distribution of nerve roots. Document any clumping, adhesions, or abnormal signal. Replace default text if pathology is identified."},{"name":"Epidural Space","defaultText":"No epidural mass or collection is seen.","aiInstructions":"Assess for epidural masses, hematomas, abscesses, or other collections. Replace default text if abnormalities are identified."},{"name":"L1-L2 Level","defaultText":"At the L1-L2 level, there is no posterior disc bulge, significant spinal canal stenosis, or neural foraminal narrowing.","aiInstructions":"Document specific findings at this disc level including disc morphology, canal diameter, and foraminal patency. If pathology is mentioned in the source report, use that information; otherwise use default normal text."},{"name":"L2-L3 Level","defaultText":"At the L2-L3 level, the disc and spinal canal appear normal without stenosis or neural foraminal narrowing.","aiInstructions":"Document specific findings at this disc level. If the source report contains findings for this level, use them; if blank, use default normal text."},{"name":"L3-L4 Level","defaultText":"At the L3-L4 level, the disc and spinal canal appear normal without stenosis or neural foraminal narrowing.","aiInstructions":"Document specific findings at this disc level. If the source report contains findings for this level, use them; if blank, use default normal text."},{"name":"L4-L5 Level","defaultText":"At the L4-L5 level, the disc and spinal canal appear normal without stenosis or neural foraminal narrowing.","aiInstructions":"Document specific findings at this disc level. If the source report contains findings for this level, use them; if blank, use default normal text."},{"name":"L5-S1 Level","defaultText":"At the L5-S1 level, the disc and spinal canal appear normal without stenosis or neural foraminal narrowing.","aiInstructions":"Document specific findings at this disc level. If the source report contains findings for this level, use them; if blank, use default normal text."}]},"impression":{"defaultText":"Unremarkable lumbar spine MRI.","aiInstructions":"Synthesize key findings into a concise impression. Document significant pathology such as stenosis, disc herniation, cord signal changes, or masses. If no abnormalities are identified, use a statement such as 'Unremarkable lumbar spine MRI' or 'No significant abnormality identified.' Ensure impression aligns with and is supported by the findings section."}},"aiUsageInstructions":{"summary":"Use this template to generate a complete MRI Lumbar Spine with and without Contrast radiology report.","steps":["1. Collect patient clinical history from the user (age, sex, clinical indication).","2. Confirm whether prior studies are available for comparison.","3. For the Technique section, use defaultText or adapt based on actual acquisition parameters.","4. For each field in sections.findings.fields: ask the user for the finding or infer from clinical context. Use defaultText if the structure is normal.","5. Generate the Impression by summarizing the most significant findings from step 4.","6. Use the aiInstructions for each section to guide the depth and format of the content.","7. Maintain formal radiology report language throughout. Passive voice preferred.","8. If any finding is abnormal, quantify it with measurements and describe its imaging characteristics."],"language":"Formal radiology report language. Passive voice preferred. Avoid first-person pronouns.","format":"Numbered impression list. Prose findings paragraphs or structured field-by-field format both acceptable.","units":"Report measurements in centimeters (cm) for masses, millimeters (mm) for small structures."},"meta":{"canonicalUrl":"https://radiluxreports.com/templates/mri-lumbar-spine-with-and-without-contrast","claudeApiUrl":"https://radiluxreports.com/templates/api/claude/mri-lumbar-spine-with-and-without-contrast","useInDashboardUrl":"https://radiluxreports.com/?templateId=69a23425efd4f1d9175042d8","apiUrl":"https://radiluxreports.com/templates/api/mri-lumbar-spine-with-and-without-contrast","updatedAt":"2026-03-01T00:12:18.200Z","license":"Free for clinical and educational use. Attribution appreciated."}}