Terminology in radiology reports may cause patients harm by anchoring to or justifying a particular diagnosis. This phenomenon is known as the nocebo effect. MRI may cause patients to pursue more invasive procedures with little added benefit. This study aims to reproduce a study to determine the impact of clinical reporting on patient care and outcomes for those suffering from lower back pain.

Inclusion Criteria:

• History of lower back pain undergoing MRI
• Greater than 18 years of age
• Able to understand and willing to comply with all study procedures and is available for the duration of the study

Exclusion Criteria:

• A potential subject who meets any of the following criteria will be excluded from participation in the study:

  • Acute lower back pain secondary to trauma within 1 months
  • Severe cord compression on MRI
  • Cord signal abnormality on MRI
  • Metastatic cancer
  • Spinal epidural abscess
  • Vertebral osteomyelitis
  • Judgement of the ordering physician (e.g. focal neurologic deficit)
  • Anything that, in the opinion of the investigator or team, would place the subject at increased risk or preclude the subject's full compliance with or completion of the study

Interpreting radiologists will be blinded to survey data. The PI will be blinded to the intervention type during the review.