Transcribed Medical Transcription Sample Reports and Examples
Transcribed Medical Transcription Sample Reports and Examples
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Sample Type / Medical Specialty: Orthopedic
Sample Name: MRI of Lumbar Spine w/o Contrast

Description: MRI of lumbar spine without contrast to evaluate chronic back pain.
(Medical Transcription Sample Report)

EXAM: MRI of lumbar spine without contrast.

HISTORY: A 24-year-old female with chronic back pain.

TECHNIQUE: Noncontrast axial and sagittal images were acquired through the lumbar spine in varying degrees of fat and water weighting.

FINDINGS: The visualized cord is normal in signal intensity and morphology with conus terminating in proper position. Visualized osseous structures are normal in marrow signal intensity and morphology without evidence for fracture/contusion, compression deformity, or marrow replacement process. There are no paraspinal masses.

Disc heights, signal, and vertebral body heights are maintained throughout the lumbar spine.

L5-S1: Central canal, neural foramina are patent.
L4-L5: Central canal, neural foramina are patent.
L3-L4: Central canal, neural foramen is patent.
L2-L3: Central canal, neural foramina are patent.
L1-L2: Central canal, neural foramina are patent.

The visualized abdominal aorta is normal in caliber. Incidental note has been made of multiple left-sided ovarian, probable physiologic follicular cysts.

IMPRESSION: No acute disease in the lumbar spine.

Keywords: orthopedic, mri, central canal, noncontrast, abdominal aorta, axial, back pain, contrast, follicular cysts, images, lumbar spine, morphology, neural foramina, sagittal, signal intensity, without contrast, mri of lumbar spine, mri of lumbar, lumbar, foramina, neural, patent, spine,
NOTE: These transcribed medical transcription sample reports and examples are provided by various users and are for reference purpose only. MTHelpLine does not certify accuracy and quality of sample reports. These transcribed medical transcription sample reports may include some uncommon or unusual formats; this would be due to the preference of the dictating physician. All names and dates have been changed (or removed) to keep confidentiality. Any resemblance of any type of name or date or place or anything else to real world is purely incidental.
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Transcribed Medical Transcription Sample Reports and Examples