Imaging of the lumbar spine stands as a cornerstone in the diagnostic armamentarium of clinicians worldwide, providing crucial insights into the intricate anatomy and pathological changes within this complex region. As a nexus of bones, intervertebral discs, ligaments, and neural structures, the lumbar spine is susceptible to a myriad of degenerative, traumatic, and neoplastic conditions, which can profoundly impact patients’ quality of life. In India, a country marked by a diverse population and a high burden of musculoskeletal disorders, the demand for accurate and comprehensive lumbar spine imaging is particularly pronounced. In this context, the advent of advanced imaging techniques, including upright and supine magnetic resonance imaging (MRI) systems, has revolutionized the evaluation and management of lumbar spine pathologies.