Question 2982
{"accessible":false,"alternatives":[{"id":14508,"text":"ankylosing spondylitis "},{"id":14509,"text":"osteoporosis"},{"id":14506,"text":"rheumatoid arthritis"},{"id":14510,"text":"sickle cell disease"},{"id":14507,"text":"spondylodiscitis"}],"archived":false,"correctAlternativeId":14507,"explanation":"\u003cp\u003eDestruction of the vertebral endplates is characteristic of spondylodiscitis which, when present, should be the presumed diagnosis until proven otherwise. On x-ray this may simply be seen as an indistinct outline to an endplate. \u003c/p\u003e","id":2982,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/2982","nextQuestionPath":"/articles/sickle-cell-disease/questions/2543","relatedArticles":[{"id":4966,"title":"Spondylodiscitis","link":"/articles/spondylodiscitis?lang=gb"},{"id":12369,"title":"Rheumatoid arthritis","link":"/articles/rheumatoid-arthritis?lang=gb"},{"id":31331,"title":"Osteoporosis","link":"/articles/osteoporosis-3?lang=gb"},{"id":904,"title":"Ankylosing spondylitis","link":"/articles/ankylosing-spondylitis-1?lang=gb"}],"alsoUsedIn":[{"id":1959,"kind":"Course","title":"X-ray Interpretation: Lumbar Spine - page 1959","link":"https://radiopaedia.org/courses/x-ray-interpretation-lumbar-spine/pages/1959"}],"stem":"\u003cp\u003eLumbar radiographs in a 65-year-old male with lower back pain reveal an indistinct margin of the superior endplate of L4. Which of the following is most likely to account for this?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/2982"}],"attemptsPercentages":[{"alternativeId":"14510","percentage":4},{"alternativeId":"14508","percentage":8},{"alternativeId":"14509","percentage":10},{"alternativeId":"14507","percentage":76},{"alternativeId":"14506","percentage":2}],"promptToLogin":false,"questionManager":false,"articleId":"sickle-cell-disease"}