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hi itamp;#39;s Tim from Cairo up and today I have a quick video to demystify what modic changes are these were first described by Dr Michael modick he was a neuroradiologist at the Cleveland Clinic and he observed there was a fairly predictable pattern of MRI changes in people who had lumbar spine problems he he classified them into three categories modic one means that a T1 image shows a hypo intense lesion and T2 is a high or hyper intense lesion modic changes to mean both T1 and T2 show a hyper intense lesion and Moda 3 means that the MRI shows a hypo intense lesion on both T1 and T2 now whatamp;#39;s that mean it means that you go from a normal vertebra into a type 1 where the vertebral end plate and the adjacent vertebra become inflamed it then can transition into a type 2 where that inflammation is replaced by fat and finally it transitions into type 3 which we often see in our office thatamp;#39;s where things have started to becomes scl degenerate in the bodyamp;#39