Lumbar mets and fracture…

December 27, 2013

Non-Trauma, Orthopedics, Spine XR, XR

Elderly male came in with acute onset pain in lumbar spine.  He indicentally has had weight loss over the past 6 months, about 40 lbs:

Path Fx L Spine 2 Path Fx L spine

This patient has a pathologic compression fracture of L1 vertebral body.  Also demonstrated are sclerotic lesions in L4 without a fracture. 

What is the most likely primary lesion?

Author:  Russell Jones, MD

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