Presentation
Back pain.
Patient Data
Age: 50 years
Gender: Female
From the case:
Annular fissure
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Multilevel decreased disc height and hydration more noticeable at L4-5 level with diffuse disc bulge minimally indenting the thecal sac, bilateral facet joint arthropathy/effusion was noted albeit with no significant central canal stenosis, the bulging disc indent the inferior aspect of both exit foramen at this level.
Linear T2-high signal intensity zone seen at the peripheral aspect of L4-5 disc.
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Green arrow point to the annular fissure.
Case Discussion
Annular fissure of concentric orientation seems to involve all annular layers, however, no frank disc extrusion is seen.
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