Hello there. Your lumbar spine looks pretty good on this single, sagittal image. The vertebral bodies appear intact and the disc heights relatively well-preserved throughout with only minor loss of disc height at L4-5. No focal disc herniation is seen on this single image and the central canal (the fluid-filled space which surrounds your spinal cord and the nerve roots) appears normal with no evidence of significant narrowing. The single, well-defined high signal focus demonstrated in the lower lumbar spine at L5 most likely represents a common benign bone lesion known as a hemangioma and is unlikely to be of any significant clinical relevance and unlikely to be implicated in your symptoms of
back pain. I do not see any other concerning imaging findings and would suggest keeping your original appointment for next Monday unless your symptoms worsen, in which case I would contact the physician that originally referred you for the imaging study. Thanks, Paul Gibson MD.