Ah, that's the rub, isn't it. I wonder sometimes if these radiologists really scrutinize your MRI, or just give it a cursory inspection due to the large load of scans to read. Or, if they are having a bad day and just want to get done quickly.. I had a two MRIs back in 2016 and 2017 which showed nothing remarkable. Then is August of 2017, an orthopedict surgeon orderd a closed MRI. He said it revealed spondylithesis at L5-S1. He recommentened fusion to get the two vertebrae lind up properly. Being fairly new at the game. I went ahead. Not one of the most pleasant experiences ever. I rehabed over the next month by waking every day. It healed up well, but did not offer any pain relief. So, I have to ask my self, "Self, who was correct? The two previous radiologists, or the one who supposedly saw spondylithesis? If your report does not reveal anything, get the disk and report. Have another radiologist check it over with explicit instructions to look for specific things.
I really hope that something turns up for your. 54 is way too young to be saddled with this kind of pain. My saving graces for three years were the meds and the spinal cord stimulator.
I'll be anxious to hear what the MRI reveals.