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Report this c/o lbp

Here is a structured radiology report for the L-Spine AP/LAT X-ray presented with a complaint of low back pain:
RADIOLOGY REPORT
Institution: Sri Raksha Hospitals, Khammam Referring Clinician: Dr. GV Sir Date: 10-Jun-2026 Study: X-Ray Lumbosacral Spine - AP and Lateral Views Clinical Indication: Low Back Pain (LBP)
FINDINGS:
AP View:
  • Lumbar vertebral bodies L1-L5 are visualized with maintained heights.
  • Vertebral alignment is largely maintained in the coronal plane; mild loss of normal lumbar lordosis noted.
  • Disc spaces appear mildly reduced at the lower lumbar levels (L4-L5 and L5-S1), suggestive of early degenerative disc disease.
  • Pedicles are intact and symmetrical bilaterally.
  • Facet joints show early degenerative changes with mild sclerosis.
  • No obvious lytic or sclerotic bony lesions seen.
  • Sacroiliac joints appear unremarkable.
  • Psoas shadow is maintained bilaterally.
  • No obvious scoliotic curvature noted.
Lateral View:
  • Lumbar lordosis appears reduced (straightening of lumbar spine).
  • Disc space narrowing is more evident at L4-L5 and L5-S1 levels on the lateral view.
  • Anterior and posterior vertebral body margins show marginal osteophyte formation (spondylosis deformans), most prominent at L4-L5.
  • No significant listhesis (anterior or posterior slippage) identified.
  • No compression fracture or wedging of vertebral bodies seen.
  • Posterior elements (spinous processes, laminae) appear intact.
  • No significant pre-vertebral soft tissue abnormality.
IMPRESSION:
  1. Degenerative disc disease - disc space narrowing at L4-L5 and L5-S1, consistent with the patient's complaint of low back pain.
  2. Lumbar spondylosis - marginal osteophyte formation at L4-L5, in keeping with degenerative change.
  3. Reduced lumbar lordosis - likely muscle spasm-related or positional.
  4. No fracture, listhesis, or focal bony destructive lesion identified on these plain radiographs.
RECOMMENDATION:
  • Clinical correlation advised.
  • If symptoms persist or neurological deficits are present, further evaluation with MRI Lumbosacral Spine is recommended to assess the intervertebral discs, nerve roots, and spinal canal in detail.
Report generated for clinical use. Final interpretation subject to treating clinician's review.
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