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Previous Volume 359:405-414 July 24, 2008 Number 4 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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Presentation of Case

A 26-year-old man was admitted to this hospital because of back pain and a mass in the lung. He had been well until 17 days before admission, when he bent down to lift something and felt a sudden snap in his back, followed by pain that was associated with profuse diaphoresis and muscle spasms that extended from the left shoulder to the buttocks but did not radiate to the legs. He was unable to stand up straight and had difficulty breathing and sleeping because of the pain. Eleven days before admission, a radiograph of the abdomen obtained at another facility . . . [Full Text of this Article]

Differential Diagnosis

Pathological Discussion

Discussion of Management

Anatomical Diagnosis

Source Information

From the Cancer Center (L.V.S., J.E.S.) and the Departments of Radiology (J.B.A.) and Pathology (A.J.I.), Massachusetts General Hospital; and the Departments of Medicine (L.V.S., J.E.S.), Radiology (J.B.A.), and Pathology (A.J.I.), Harvard Medical School.

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