Sunday, March 4, 2012

Musculoskeletal case 21. presentation

Radiology for the Surgeon

Chirurgie et radiologie

A 59-year-old woman complained of sudden onset of severe disabling back pain. She had a history of cervical carcinoma treated 2 years earlier with local and external beam radiation. No abnormalities were obvious on clinical examination; in particular, no neurologic deficit was evident.

Plain radiographs of the lumbar spine were interpreted as normal, apart from bony demineralization, which was likely due to osteoporosis. Radioisotope bone scanning was performed to identify any bony metastases.

The bone scan (Fig. 1) demonstrated intense radioisotope uptake in the alae and across the midline of the …

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