Fig. 4

Twenty-year-old male with chronic longstanding lumbar pain with physical activities due to adolescent disk dysplasia. Bone scan shows heterogeneous uptake in the spine associated with endplates changes. Sagittal bone SPECT image of the lumbar spine (a) and fused SPECT/CT images (b) show heterogeneity of uptake in the vertebral bodies. Sagittal T1 (c) and T2 (d) weighted MR sequences showed straightening of the lumbar lordosis, endplate disc desiccation seen from T12-L1 through L5-S1, Schmorl's nodes at multiple levels, and early Modic type 1 endplate degenerative changes.