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Volume 13, Issue 2, Pages 146-147 (June 2010)


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Geriatric chronic, progressive thoracic pain: Case presentation

Michelle A. Wesselyemail address

Article Outline

Case history

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Case history 

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A 68-year-old male presented with thoracic pain and a feeling of “heaviness” in his lower thoracic spine, which had been present for several months. He had previously consulted his general practitioner who had ordered imaging of this region to examine it further. The sensation of heaviness and pain had been progressive, though the patient could not recall for how long. In 1977, the patient had been involved in a car accident wherein his car had been hit from behind. In the year prior to presentation, the patient had had a prostatic adenoma of the median lobe removed (Fig. 1).


What are the imaging findings?

Based on the history and imaging findings, what is your diagnosis?

What would your clinical management entail?


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Figure 1. Digital X-ray imaging of the thoracic spine, anteroposterior (a) and lateral (b) views.


Department of Radiology, Institut Franco-Europeen de Chiropratique (IFEC), 24 Boulevard Paul Vaillant-Couturier, 94200 Ivry Sur Seine, France

PII: S1479-2354(10)00134-3

doi:10.1016/j.clch.2010.04.001


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