Presentation
Lumbar back pain
From the case:
Annular fissure
{"study":{"id":12794,"case_slug":"annular-fissure","modality":"MRI","series":[{"id":627674,"content_type":"image/jpeg","frames":[{"id":627672,"width":860,"height":938},{"id":627673},{"id":627674,"current":true},{"id":627675}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"0520c5d4a98851ef8493add25879e3_tiny.jpg","jumbo":"0520c5d4a98851ef8493add25879e3_jumbo.jpg","small":"0520c5d4a98851ef8493add25879e3_small.jpg","thumb":"0520c5d4a98851ef8493add25879e3_thumb.jpg","medium":"0520c5d4a98851ef8493add25879e3_medium.jpg","gallery":"0520c5d4a98851ef8493add25879e3_gallery.jpg","big_gallery":"0520c5d4a98851ef8493add25879e3_big_gallery.jpg","original":"0520c5d4a98851ef8493add25879e3.jpg"},{"tiny":"18f5eb3e87e71e8e24d120bb1430b6_tiny.jpg","jumbo":"18f5eb3e87e71e8e24d120bb1430b6_jumbo.jpg","small":"18f5eb3e87e71e8e24d120bb1430b6_small.jpg","thumb":"18f5eb3e87e71e8e24d120bb1430b6_thumb.jpg","medium":"18f5eb3e87e71e8e24d120bb1430b6_medium.jpg","gallery":"18f5eb3e87e71e8e24d120bb1430b6_gallery.jpg","big_gallery":"18f5eb3e87e71e8e24d120bb1430b6_big_gallery.jpg","original":"18f5eb3e87e71e8e24d120bb1430b6.jpg"},{"tiny":"70a70aedf8db7c15fcc2bedc7c75fa_tiny.jpg","jumbo":"70a70aedf8db7c15fcc2bedc7c75fa_jumbo.jpg","small":"70a70aedf8db7c15fcc2bedc7c75fa_small.jpg","thumb":"70a70aedf8db7c15fcc2bedc7c75fa_thumb.jpg","medium":"70a70aedf8db7c15fcc2bedc7c75fa_medium.jpg","gallery":"70a70aedf8db7c15fcc2bedc7c75fa_gallery.jpg","big_gallery":"70a70aedf8db7c15fcc2bedc7c75fa_big_gallery.jpg","original":"70a70aedf8db7c15fcc2bedc7c75fa.jpg"},{"tiny":"96b50babfb7c68baa1e271411f80fe_tiny.jpg","jumbo":"96b50babfb7c68baa1e271411f80fe_jumbo.jpg","small":"96b50babfb7c68baa1e271411f80fe_small.jpg","thumb":"96b50babfb7c68baa1e271411f80fe_thumb.jpg","medium":"96b50babfb7c68baa1e271411f80fe_medium.jpg","gallery":"96b50babfb7c68baa1e271411f80fe_gallery.jpg","big_gallery":"96b50babfb7c68baa1e271411f80fe_big_gallery.jpg","original":"96b50babfb7c68baa1e271411f80fe.jpg"}]},"perspective":"Axial","specifics":"T2"},{"id":627676,"content_type":"image/jpeg","frames":[{"id":627676,"width":860,"height":938,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"b684896e594dc300f83b3ca5089cba_tiny.jpg","jumbo":"b684896e594dc300f83b3ca5089cba_jumbo.jpg","small":"b684896e594dc300f83b3ca5089cba_small.jpg","thumb":"b684896e594dc300f83b3ca5089cba_thumb.jpg","medium":"b684896e594dc300f83b3ca5089cba_medium.jpg","gallery":"b684896e594dc300f83b3ca5089cba_gallery.jpg","big_gallery":"b684896e594dc300f83b3ca5089cba_big_gallery.jpg","original":"b684896e594dc300f83b3ca5089cba.jpg"}]},"perspective":"Sagittal","specifics":"T1"},{"id":627677,"content_type":"image/jpeg","frames":[{"id":627677,"width":860,"height":938,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"e220442ac9534d2cf7d790d20fc3f6_tiny.jpg","jumbo":"e220442ac9534d2cf7d790d20fc3f6_jumbo.jpg","small":"e220442ac9534d2cf7d790d20fc3f6_small.jpg","thumb":"e220442ac9534d2cf7d790d20fc3f6_thumb.jpg","medium":"e220442ac9534d2cf7d790d20fc3f6_medium.jpg","gallery":"e220442ac9534d2cf7d790d20fc3f6_gallery.jpg","big_gallery":"e220442ac9534d2cf7d790d20fc3f6_big_gallery.jpg","original":"e220442ac9534d2cf7d790d20fc3f6.jpg"}]},"perspective":"Sagittal","specifics":"T2"}],"caption":{"us":null,"gb":null},"findings":{"us":"","gb":""},"contributor_login":"frank","case_id":12574,"case_key_image_id":null,"case_featured_at":null},"current_user":null,"access":{"can_edit":false,"can_download":true,"can_feature":false,"can_pin":true}}
MRI of the lower lumbar spine demonstrates a right posterolateral annular fissure of the L4/5 disc.
Additional incidental findings include epidural lipomatosis and a number of Tarlov cysts.