In Brief:
Patients with tuberous sclerosis do not routinely undergo spine magnetic resonance imaging (MRI). Therefore, no previous MRI data are available. In this paper, MRI of bone involvement is reported in a patient with tuberous sclerosis, who presented with lower back pain. Besides the finding of the degenerated discs at L4–5 and L5-S1, MRI clearly demonstrated focal lesions of osseous spine. All lesions showed the same MRI features: low signal intensity on both T1-weighted and T2-weighted images, without contrast enhancement, which correlate with osteosclerosis on the plain radiographs.