Fig. 1
Lumbar MRI of a 55-year-old post-menopausal woman complained from low back pain, no history of any chronic illness, spinal trauma, family history of osteoporosis, history of taking any medications, or taking calcium and Vit. D supplementation. MRI of lumbar spine T1W (L1–L4) revealed that the SNRL1–L4 = 148.5 and M-score within abnormal values = 4.1093, DEXA scan of the lumbar spine, PA (L1–L4) revealed osteoporosis according to T-score results. The mean BMD of the lumbar spine is 0.847 g/cm2, equivalent to a T score of − 2.8