This 80-year-old lady presented with a history of chronic low lumbar back pain, worse on the left-hand side for some years.  Over the past year, she was also reporting a mixture of bilateral claudicant leg pain and elements of radicular leg pain particularly on the left-hand side.

She had an MRI scan of the Lumbar spine.

• Spot the issues and fill in the labels.
• Keep your eyes peeled for incidental findings - have you spotted it in this case?

Additionally a CT scan of the abdomen was requested.

• What can you see in the image?