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Chronic low back pain

  • Rania ZeitounEmail author
  • Petra Balogh
  • Amir Amiri
  • Alex Gibson
  • Asif Saifuddin
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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.
Fig. 1

Lateral radiograph of the lumbar spine

Fig. 2

a Axial and b sagittal CT

Fig. 3

a Sagittal T1W SE MR image b axial T2W FSE and c sagittal STIR MR images

Fig. 4

a Microphotograph (H&E, 5× magnification). b Nuclear immunostain positive for brachyury

Notes

Acknowledgements

The authors would like to acknowledge the help of Dr. RT, Consultant Histopathologist for providing the histology images.

Authors Contribution

All authors have made substantial contributions to all four categories established by the International Committee of Medical Journal Editors.

Copyright information

© ISS 2019

Authors and Affiliations

  1. 1.Imaging Department, Kasr Al-Ainy Faculty of MedicineCairo UniversityGizaEgypt
  2. 2.Histopathology department, Royal National Orthopaedic Hospital NHS TrustStanmoreUK
  3. 3.Spinal Surgery Department, Royal National Orthopaedic Hospital NHS TrustStanmoreUK
  4. 4.Imaging Department, Royal National Orthopaedic Hospital NHS TrustStanmoreUK

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