Chronic low back pain
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TEST YOURSELF: QUESTION
Chronic low back pain Rania Zeitoun 1
&
Petra Balogh 2 & Amir Amiri 3 & Alex Gibson 3 & Asif Saifuddin 4
# ISS 2019
History A 46-year-old female was referred with a 2-year history of worsening low back pain, with occasional night pain and difficulty walking. On examination she had mild discomfort on palpation over her lower lumbar spine Figs. 1, 2, 3 and 4.
Fig. 1 Lateral radiograph of the lumbar spine
The diagnosis can be found at https://doi.org/10.1007/s00256-01903311-z * Rania Zeitoun [email protected] 1
Imaging Department, Kasr Al-Ainy Faculty of Medicine, Cairo University, Giza, Egypt
2
Histopathology department, Royal National Orthopaedic Hospital NHS Trust, Stanmore, UK
3
Spinal Surgery Department, Royal National Orthopaedic Hospital NHS Trust, Stanmore, UK
4
Imaging Department, Royal National Orthopaedic Hospital NHS Trust, Stanmore, UK
Skeletal Radiol Fig. 2 a Axial and b sagittal CT
b a
Fig. 3 a Sagittal T1W SE MR image b axial T2W FSE and c sagittal STIR MR images
a
b
Fig. 4 a Microphotograph (H&E, 5× magnification). b Nuclear immunostain positive for brachyury
Skeletal Radiol Acknowledgements The authors would like to acknowledge the help of Dr. RT, Consultant Histopathologist for providing the histology images.
Authors Contribution All authors have made substantial contributions to all four categories established by the International Committee of Medical Journal Editors.
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