Presentation
Lower back pain radiating to the left lower limb.
Patient Data




Diffuse abnormal heterogeneous increased bone density is seen involving the spine and pelvic bones.
Straightening of the lumbar spine with anterior vertebral scalloping is seen.
Mild narrowing of L4-L5 disk space.
Heavy calcifications of the abdominal aortic wall is noted.
Case Discussion
This is a 70-year-old male, presented with chronic lower back pain radiating to the left lower limb known to have myelofibrosis. Lumbar spine and pelvis x-ray were requested. Increased bone density was seen involving pelvic and spine bones. Spine MRI examination was requested depicted L4-L5 disc protrusion compressing L5 nerve roots.