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A 60-year-old female had adjacent segment degeneration (L3–L4 and L5–S1) coexisting with degenerative spondylolisthesis of L4–L5 under axially loaded MRI [preload Sagittal FSE T2WI (TR/TE: 4000/97 ms; NEX: 4) with fat saturation and post-load Sagittal FSE T2WI (TR/TE: 4000/97 ms; NEX: 4) with fat saturation]
