Lower back pain for 2 months.

Chief complaint A 54 y/o male presents with lower back pain for 2 months. Description The pain was non-radiating that worsen with movement and restricts his daily routine. No complaint of fever, urinary incontinence or numbness. Vitals BP raised: 150/90 mmhg, all other vitals are normal. Diagnosis Can you tell the diagnosis and tmt.

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* Port's spine L2 stress # or body pathology. Needs further investigation and evaluation to conclude and line of treatment.

Thanks dear Nihar
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POSSIBLY STRESS. FRACTURE...L 2 SECONDARY. TO BONE. MARROW CHANGES.. AND SCLEROSIS. SPINE

L2 is compressed and iv disc is desication seen D/d stress # L2 with radiculopathy 2 Potts

Thanx dr Dinesh Gupta
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L2 vertebral body pathology evident Suspected Potts spine ?

Thank you sir @Dr. Ashok Leel
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Agree@Nihar Ranjan Mohanty

? LUMBAR SPINE PATHOLOGY.. ? TUBERCULOUS..

Dx.. Pots disease

Can be potts spine

Could be an infiltrating lesion L2 level Myeloma and secondaries a possibility CBC esr Urine bence Jones protein Serum protein electrophoresis Skull xray lateral view PSA Usg abdomen If results are inconclusive,PET scan May need CT guided biopsy for final confirmation

Collapse of body of L1, 2 vertebrae. ? Secondaries ? Potts spine Suggest bone biops , Nuclear scan with FDG

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