doi: 10.2349/biij.3.2.e10 biij Biomedical Imaging and Intervention Journal LEARNING POINTS

A 68-year-old woman presented to the orthopaedics clinic with a 3-month history of low back pain. She was unable to recall any falls recently but claimed to have first felt the pain when she tried to look for her cat in the drain after it went missing. She had taken paracetamol regularly for the pain. However, the pain persisted so she decided to see a doctor. There were no other significant medical illnesses such as diabetes, hypertension or renal impairment. On physical examination, there were no positive findings except for a mild kyphosis and tenderness over the thoraco-lumbar junction. Plain radiographs of her spine and a Dual Energy X-ray Absorptiometry (DEXA) study of her spine and femur were performed (Figures