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Signal abnormality of the posterior annulus was graded on the sagittal T2 weighted MR sequence utilizing a 4 point scale by consensus of three experienced neuroradiologists: grade 1: negative/barely visible; grade 2: slight posterior annular signal; grade 3: obvious bright posterior annular signal; grade 4: posterior annular signal comparable to CSF. Peripheral posterior annular fissure was identified as focal enhancement of the annulus on post-contrast imaging at 28 un-operated disk levels in 19 of these patients (10 female, 9 male; age range 19-62 years, average 41 years) and form the focus of this study. Methods & Materials Over the course of 5 years, 43 patients were identified who had combined unenhanced and enhanced lumbar MR imaging available as their pre-procedure study prior to provocation lumbar diskography. 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