An Unusual Case Of Back Pain

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An Unusual Case Of Back Pain - Page #3

Lab Studies: No laboratory studies were obtained as part of the initial work-up. Other Studies: X-rays of the lumbar spine were ordered by the patient's primary care physician. An MRI of the lumbar spine was ordered by the sports medicine physician approximately 4 weeks after the x-rays were taken. XR Lumbar Spine Impression: No acute osseous or intra-articular abnormality. Case Photo #1 MRI Lumbar Spine Impression: Multiple abnormal foci of signal involving the lower thoracic spine, lumbar spine, and sacrum, concerning for metastatic disease or myelomatous deposits. Moderate loss of posterior vertebral body height at L5 concerning for a pathologic compression fracture. Associated retropulsion or dorsal soft tissue extension of neoplasm at L5 which abuts the traversing left L5 nerve root. Expansile lesion involving the right L1 pedicle. Case Photo #2 Consultations: Medical Oncology Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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