BackgroundrnrnLow back pain (LBP) is one of the leading causes of activity limitation and work absence throughoutrnthe world, imposing a high economic burden on individuals, families, communities, industry, andrngovernments.rnChronic lower back pain (CLBP) is one of the most frequently encountered patient visits in thernoutpatient setup like Regular clinics of general hospitals and specialty clinics of Neurology,rnNeurosurgery and Orthopedics departments.rnThese patients usually present with non specific lower back pain which makes the differential diagnosisrnwide, there by imaging has a big part in reaching at the diagnosis in addition to the clinical evaluation.rnPlain radiography and MRI are the principal imaging modalities that are used in LBP.rnAs to my knowledge there are only few studies done in our country on the prevalence of lower backrnpain and there are no published papers related to imaging of lower back pain. rnrnObjective: To correlate the imaging findings of Lumbosacral radiograph with MRI among patients rnwith chronic lower back pain at TASH and ZMH, Addis Ababa, Ethiopia.rn rnMethods and materials: A cross sectional study design was applied. We collected 174 patients duringrnthe study period who presented with CLBP having both plain radiograph and MRI of the Lumbosacralrnregion at the Neurology clinics of Tikur Anbessa Specialized Hospital and Zewditu Memorial Hospital.rnData collectors administered a structured questionnaire to collect the data. The collected data was thenrnentered and cleaned using IBM SPSS version 20 for statistical analysis. We set the significance level atrnP