Logo American Journal of Case Reports

Call: 1.631.629.4328
Mon-Fri 10 am - 2 pm EST

Contact Us

Logo American Journal of Case Reports Logo American Journal of Case Reports Logo American Journal of Case Reports

24 October 2022: Articles

A 68-Year-Old Woman with a Remote History of Breast Cancer Presenting with Low Back Pain to a Chiropractic Clinic in Hong Kong with Imaging Findings Consistent with a Vertebral Hemangioma and Vertebral Metastatic Lesions

Mistake in diagnosis, Rare disease

Eric Chun-Pu Chu A , Robert J. Trager C* , Alan Te Chang Chen A , John Sing Fai Shum C

DOI: 10.12659/AJCR.938034

Am J Case Rep 2022; 23:e938034

Figure 1. Lumbar radiograph, lateral view. A close-up of the lower lumbar segments shows coarse, thickened vertical trabeculae evident at the L5 vertebral body (arrows), suggestive of a vertebral hemangioma. While the outside radiology report suggested a hemangioma at L4 as well, our secondary review was not concordant with this determination, as the sclerosis in L4 appeared more heterogeneous. Also, while not noted in the original report, the superior endplate of L3 was noted to be slightly concave (arrowhead), compatible with a possible occult vertebral fracture. Disc space narrowing was also apparent at L4–5 and L5-S1 (*). Due to the original images being taken on plain film, there was a loss of quality when copying these into the patient’s file.

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923