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Previous Volume 344:456-457 February 8, 2001 Number 6 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: In the Clinical Problem-Solving article by Lurie et al. (Sept. 7 issue),¹ the authors describe an 80-year-old man with unexplained back pain, an elevated erythrocyte sedimentation rate, plain films that showed only degenerative changes, and normal findings on neurologic evaluation. I believe magnetic resonance imaging (MRI) with gadolinium should have been performed before computed tomographic (CT) myelography was performed. CT myelography is invasive and expensive, and it does not provide nearly the range of diagnostic information provided by MRI. As the discussant stated, the differential diagnosis in this case included chronic infection, a metastatic tumor, vasculitis, and . . . [Full Text of this Article]

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