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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Back Pain. CT Scan Shows Lytic And Sclerotic. MRI Lumbar Spine Suggested

sir, my mother aged 63 yrs is having back pain problem CT scan KUB (NCCT STUDY) done the impression is Lytic & sclerotic are seen in D12 & L3 vertebral bodies. Adjacent minimal paraspinal soft tissue is seen at D12 level. Left paraspinal soft tissues are oedematous at L3 vertebral level. Left psoas muscle is enlarged in size. No definite collection is seen. These features are suggestive of infective in origin. Other differential diagnosis would be neoplastic etiology. MRI lumbar spine/histopathological correlation is suggested . kindly advice me
Mon, 18 Nov 2013
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General & Family Physician 's  Response
Namaste
Welcome to Healthcare-Magic
Greetings of the day

At age of 63 years and with symptoms of backache I would like to put the following things as differential diagnosis
1. Osteoporosis- will require bone densimetry assessment
2. Koch or tuberculosis of spine

3. I hope there is no lesion in the breast- breast examination will also be required

MRI spine is definitely indicated.

Kindly get back with the reports

Take care

Regards
Dr T Shobha
MBBS MD
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Back Pain. CT Scan Shows Lytic And Sclerotic. MRI Lumbar Spine Suggested

Namaste Welcome to Healthcare-Magic Greetings of the day At age of 63 years and with symptoms of backache I would like to put the following things as differential diagnosis 1. Osteoporosis- will require bone densimetry assessment 2. Koch or tuberculosis of spine 3. I hope there is no lesion in the breast- breast examination will also be required MRI spine is definitely indicated. Kindly get back with the reports Take care Regards Dr T Shobha MBBS MD