Severe lordosis - sign on AP radiograph
40-year old obese female presented with backache
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Hyperlordosis, especially in obese patients, may cause neural arch of vertebrae and both lamina to turn up and be seen as a divert 'V' on AP lumbar spine radiographs.
This case is from my dear Prof. Saeed Rad's archive. Radiology department, Tabriz University of Medical Sciences, Iran.