Background: Low back pain(LBP) is defined as pain coming from between the lower ribrnmargins and the gluteal folds. It is usually accompanied by pain and neurological symptoms inrnthe lower limbs. Lumbar degenerative disc disease constitutes a group of degenerative pathologicrnchanges that are almost universal with increasing age and are a common cause of mechanicalrnlow back pain. There were contradictory reports regarding the correlation of MRI(magneticrnresonance imaging) findings with clinical presentations. rnObjective: To evaluate the correlation between patterns of MRI findings and clinical features inrnpatients with low back pain due to lumbar degenerative disc disease(LDDD) at Ortho-spinernunite, in Tikur Anbessa Specialized Hospital(TASH), Addis Ababa, Ethiopia, from April 1,rn2020, to March 30, 2021.rnMethod: Hospital-based retrospective cross-sectional study was conducted in TASH, with arnrandomly selected sample of 246 patients from April 1, 2020, to March 30, 2021. Data wasrncollected using Kobo Toolbox version 1.27.3 and exported to SPSS Windows 25 for analysis.rnChi-square test, Bivariable, and Multivariable binary logistic regression analysis were applied tornevaluate the association of different variables.rnResult: Of the total patients, 56.5% had radiculopathy, 6.1% had extremity weakness and 4.5%rnhad bowel and bladder incontinence. Disc herniation was present in 82.9%, disc degeneration inrn54.1%, neural foraminal stenosis in 56.6% and spinal canal stenosis in 44.3%. Spinal canalrnstenosis was significantly associated with age (age 40-59 [AOR=2.19, 95% CI (1.119-4.287)] &rnage >60 [AOR=3.7, 95% CI (1.753-7.691)] and radiculopathy, [AOR=2.4, CI (1.388-4.072)].rnNeural foraminal stenosis was significantly associated with age [age >60, AOR=3.425, 95% CIrn(1.560-7.519)], radiculopathy [AOR=2.7, 96%, CI (1.554-4.738)]. Neural foraminal stenosis wasrnalso significantly associated with the SLR(straight leg raise) test [AOR=2.0, 95% CI (1.0264.083)].rnrnConclusion:rnrnThere is an association between MRI findings and the clinical presentation ofrnpatients. Spinal canal stenosis and neural foraminal stenosis were associated with radiculopathyrnand older age. The lower lumbar levels are highly affected by DDD due to the higher mechanicalrnstress at this level. Radiculopathy is the most frequent clinical presentation accompanying LBP,rnand Disc herniation was the commonest degenerative finding.