Presentation
Low back pain and recent fall. Fracture?
Patient Data
Age: 65 years
Gender: Male
From the case:
Renal osteodystrophy
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Multilevel facet joint degenerative change. Mild degenerative change at L4-L5 and L5-S1.
The end plates of the vertebral bodies are sclerotic with central lucency in keeping with a 'rugger jersey' appearance.
Surgical clips projected over the right side of the pelvis in keeping with a renal transplant.
Case Discussion
The appearances of a rugger jersey spine are due to renal osteodystrophy.
The clips on the right side of the pelvis are consistent with a transplant kidney which reinforce the diagnosis.
The satisfaction of search - something which is an important aspect of professional examinations