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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. (2) The purpose of this study was to correlate the provocation diskogram response and diskogram imaging appearance of lumbar disks with peripheral annular fissures as demonstrated on pre-procedure combined unenhanced and enhanced MR imaging. (1) Studies have also demonstrated that enhancement may be common in peripheral annular fissures and T2 conspicuity may decrease with time. 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