MRI of the lumbar spine. Technique: Sagittal T1 and T2. Axial with angled sections parallel to the intervertebral disc margins from the L1-2 to the L5-S1 levels. Findings: There is a loss of T2 disc signal compatible with disc dessication present at multiple levels, most prominently L4-5 and L5-S1. At the L5-S1 level, there is accompanying high grade loss of disc height. There are bulges of the annulus fibrosis at every level, from L1-2 to L5-S1. At the L5-S1 level there is an accompanying anterior disc herniation with a covering bony osteophyte. In the sagittal plane, the central canal is suggested to be developmentally not capacious. In the axial plane, there is, however, no suggestion of canal stenosis. Normal appearance of the conus and cauda equina. No intradural abnormalities. No neural foraminal or paraspinal mass. The marrow signal changes are present at the inferior endplate of L5 and superior endplate of S1, which appears degenerative secondary to the adjacent disc pathology. The marrow signal is otherwise normally maintained. No compression deformities. Impression: Multi level disc dessication and annular bulging with superimposed disc herniation at L5-S1. A focally herniated disc fragment or canal stenosis is not seen. Thank you for the courtesy of this referral.