Metastatic small cell lung cancer to bone - false negative CT lumbar spine
Updates to Case Attributes
This study shows how insenstiveinsensitive CT can be for diffuse tumour infiltration of bone and highlights the fact that MRI is the investigation of choice for low back pain. CT CT should be limited to investigation of acute trauma to the lumbar spine and for confirmation of suspected bone lesions as initially seen on MRI.
-<p>This study shows how insenstive CT can be for diffuse tumour infiltration of bone and highlights the fact that MRI is the investigation of choice for low back pain. CT should be limited to investigation of acute trauma to the lumbar spine and for confirmation of suspected bone lesions as initially seen on MRI</p>- +<p>This study shows how insensitive CT can be for diffuse tumour infiltration of bone and highlights the fact that MRI is the investigation of choice for low back pain. CT should be limited to investigation of acute trauma to the lumbar spine and for confirmation of suspected bone lesions as initially seen on MRI.</p>
Updates to Study Attributes
CT for low back pain shows chronic bilateral pars defects of L5 with anterior spondylolithesisspondylolisthesis and secondary marked spondyloarthritisspondylarthritis at L5/S1. No No abnormality seen in S1.
Updates to Study Attributes
MRI performed as part of the pre-op workup by a spinal surgeon shows diffuse infiltration (replacement of normal bone marrow) of sacrum and left ilium with a pathological left ilial fracture presumed to be responsible for severe pain.