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Clinical presentation:
62 year old woman with back pain.

There is increased size and density of the 11 thoracic, 2nd lumbar, 4th lumbar and 5 lumbar vertebrae. In particular, the 2nd and 4th lumbar vertebra have a sclerotic biconcave appearance, whcih indicates bone softening and a general change in bone architecture. The process obscures the pedicles in the affected vertebrae.

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[Differential]

cases that might resemble this pathology

[View large image] Haemangioma. (case report) [View large image] Metastasis (case report)
[View large image] Fluorosis. (case report) [View large image] Myelofibrosis (case report) Include lymphoma.
[View large image] Sickle cell anaemia. (case report) [View large image] Osteopetrosis, adult form. (case report)
[View large image] Myositis ossificans progressiva. (case report)
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[London South Bank U.]

IDM July 2007