{"id":"69a22ce2efd4f1d917503efe","name":"MRI Lumbar Spine with Contrast","slug":"mri-lumbar-spine-with-contrast","description":"Structured template for MRI examination of the lumbar spine with intravenous gadolinium contrast, including multi-planar sequences and detailed disk-level analysis.","category":{"modality":"MRI","system":"Spine"},"tags":["lumbar spine","contrast-enhanced","gadolinium","degenerative disease","disk herniation","stenosis"],"sections":{"title":{"defaultText":"MRI of the Lumbar Spine with Intravenous Contrast","aiInstructions":"Use the examination title as stated in the report header. Preserve modality, anatomical region, and contrast information."},"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":"Extract comparison information if provided. If blank or states 'None', use default text indicating no prior studies for comparison."},"technique":{"defaultText":"Multi-planar MRI of the lumbar spine was performed utilizing axial T1, axial T2, sagittal T1, sagittal T2, and sagittal and coronal STIR sequences without intravenous contrast. Following the administration of intravenous gadolinium contrast, axial, sagittal and coronal T1 weighted sequences were obtained.","aiInstructions":"Document the specific pulse sequences used (T1, T2, STIR, FLAIR, etc.), planes of imaging (axial, sagittal, coronal), and contrast administration details. Preserve exact sequence names and timing as reported."},"findings":{"defaultText":"Overview of lumbar spine anatomy and alignment.","aiInstructions":"Provide general observations about spinal curvature, alignment, and vertebral body integrity before detailing specific disk-level findings.","fields":[{"name":"Spinal Alignment and Curvature","defaultText":"Preservation of the usual lumbar lordotic curvature. The vertebral body heights and alignment are maintained.","aiInstructions":"Document the presence or absence of normal lordotic curvature and any abnormalities in vertebral alignment or height discrepancies."},{"name":"Vertebral Bodies and Osseous Structures","defaultText":"No acute fracture or spondylolisthesis. No suspicious expansile or destructive osseous lesions.","aiInstructions":"Note presence or absence of fractures, spondylolisthesis, and any lytic or sclerotic lesions. Include location and severity if abnormalities are present."},{"name":"Intervertebral Disks","defaultText":"The intervertebral disk heights are maintained.","aiInstructions":"Document overall disk height preservation. Specific disk-level findings are detailed in individual disk assessments below."},{"name":"Spinal Cord and Nerve Roots","defaultText":"The conus medullaris and cauda equina nerve roots are normal in signal intensity and configuration. No epidural collection or intramedullary abnormality identified.","aiInstructions":"Describe the signal intensity, morphology, and position of the conus medullaris and cauda equina. Note any abnormal signal, compression, or tethering. Document the termination level of the conus if provided."},{"name":"L1-L2 Disk Level","defaultText":"No significant posterior disk bulge or herniation or evidence for central canal or foraminal stenosis.","aiInstructions":"Document the presence, size, and type of any disk pathology (bulge, herniation, extrusion). Specify if central canal or foraminal stenosis is present and grade severity if mentioned."},{"name":"L2-L3 Disk Level","defaultText":"No significant posterior disk bulge or herniation or evidence for central canal or foraminal stenosis.","aiInstructions":"Document the presence, size, and type of any disk pathology (bulge, herniation, extrusion). Specify if central canal or foraminal stenosis is present and grade severity if mentioned."},{"name":"L3-L4 Disk Level","defaultText":"No significant posterior disk bulge or herniation or evidence for central canal or foraminal stenosis.","aiInstructions":"Document the presence, size, and type of any disk pathology (bulge, herniation, extrusion). Specify if central canal or foraminal stenosis is present and grade severity if mentioned."},{"name":"L4-L5 Disk Level","defaultText":"No significant posterior disk bulge or herniation or evidence for central canal or foraminal stenosis.","aiInstructions":"Document the presence, size, and type of any disk pathology (bulge, herniation, extrusion). Specify if central canal or foraminal stenosis is present and grade severity if mentioned."},{"name":"L5-S1 Disk Level","defaultText":"No significant posterior disk bulge or herniation or evidence for central canal or foraminal stenosis.","aiInstructions":"Document the presence, size, and type of any disk pathology (bulge, herniation, extrusion). Specify if central canal or foraminal stenosis is present and grade severity if mentioned."},{"name":"Paravertebral Soft Tissues","defaultText":"The paravertebral soft tissues are unremarkable.","aiInstructions":"Describe any abnormalities in the paravertebral muscles, ligaments, or other soft tissues. Note atrophy, edema, or masses if present."}]},"impression":{"defaultText":"1. No acute fracture or spondylolisthesis.\n2. Multilevel degenerative changes of the lumbar spine.","aiInstructions":"Summarize the most significant findings in a numbered list format. Include location and severity of any degenerative disease, stenosis, or other pathology. Prioritize clinically significant findings. If specific levels of most pronounced changes are mentioned, include them explicitly."}},"aiUsageInstructions":{"summary":"Use this template to generate a complete MRI Lumbar Spine with 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-contrast","claudeApiUrl":"https://radiluxreports.com/templates/api/claude/mri-lumbar-spine-with-contrast","useInDashboardUrl":"https://radiluxreports.com/?templateId=69a22ce2efd4f1d917503efe","apiUrl":"https://radiluxreports.com/templates/api/mri-lumbar-spine-with-contrast","updatedAt":"2026-03-01T00:12:12.203Z","license":"Free for clinical and educational use. Attribution appreciated."}}