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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 3. Lumbar magnetic resonance imaging features of the L5 vertebra. Thickened vertical bone trabeculae (arrowheads) are apparent as small hypointense areas in a salt-and-pepper pattern in the axial T1-weighted image (A) and as vertical hypointense striations in the sagittal T2-weighted image (B), which are both typical imaging findings of a vertebral hemangioma. Also noted is the epidural extension of the tumor (*; images A and B), which causes severe spinal stenosis and cauda equina compression and is more suggestive of malignancy.

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