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A 52-year-old man was admitted to the hospital because of severe back pain.
The patient had been well until 13 months earlier, when he had low back pain after lifting a 45-kg object. Three months later, he returned to work. Four months before admission, the back pain recurred when he turned abruptly, and he began to have intermittent low-grade fever and sweats.
Thirteen weeks before admission, a radionuclide bone scan (Figure 1), obtained at another hospital, revealed on delayed images focal increased activity in the first and third lumbar spinous processes, a midthoracic vertebral body, the left 10th
Differential Diagnosis
Clinical Diagnosis
Dr. Alan C. Aisenberg's Diagnosis
Pathological Discussion
Anatomical Diagnosis
Addendum
References
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