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History
A 46-year-old female was referred with a 2-year history of worsening low back pain, with occasional night pain and difficulty walking. On examination she had mild discomfort on palpation over her lower lumbar spine Figs. 1, 2, 3 and 4.
Lateral radiograph of the lumbar spine
a Axial and b sagittal CT
a Sagittal T1W SE MR image b axial T2W FSE and c sagittal STIR MR images
a Microphotograph (H&E, 5× magnification). b Nuclear immunostain positive for brachyury
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The authors would like to acknowledge the help of Dr. RT, Consultant Histopathologist for providing the histology images.
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The diagnosis can be found at https://doi.org/10.1007/s00256-019-03311-z
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Zeitoun, R., Balogh, P., Amiri, A. et al. Chronic low back pain. Skeletal Radiol 49, 805–807 (2020). https://doi.org/10.1007/s00256-019-03310-0
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DOI: https://doi.org/10.1007/s00256-019-03310-0