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A 55-year-old man was admitted to the hospital because of a tender left paraspinal mass.
The patient had been well until eight months earlier, when he began to experience pain and tenderness near the left costovertebral angle. The pain gradually worsened and radiated around the left flank along the 11th rib. His physician ascribed the pain initially to a renal stone and later to an "irritable colon." A barium-enema examination was negative. A computed tomographic (CT) scan of the abdomen was said to show a left paraspinal mass, 3 to 4 cm, within the left erector spinae muscle overlying the
Differential Diagnosis
Clinical Diagnosis
Dr. David C. Harmon's Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
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