title: [Low back pain with a "detachable balloons" image in a simple chest X-ray].
abstract: The "detachable balloons" image in simple chest-X-ray is not very common in Primary Care. We present the case of patient who consulted for uncomplicated low back pain. The spine X-ray was suggestive of arthrosis. A blood analysis was requested within the Preventive Activities Programme, which showed moderate anaemia. The patient was referred to the Hospital where a probable renal cell carcinoma was detected in the thoraco-abdominal Computed Axial Tomography. Finally, the initial symptom (low back pain) was due to bone metastasis, but further information was required to continue with the diagnostic process. The anaemia and the "detachable balloons" image were key factors in the final diagnosis.
authors.affiliation: Unidad docente de Medicina Familiar y Comunitaria Tarragona-Institut Català de la Salut, Tarragona, España. esatue.tarte.ics@gencat.cat
authors.forename: E M
authors.initials: EM
authors.lastname: Satué Gracia
authors.forename: M C
authors.initials: MC
authors.lastname: de Diego Cabanes
authors.forename: B
authors.initials: B
authors.lastname: Rull Pellejà
authors.forename: O
authors.initials: O
authors.lastname: García Gimeno
mesh_terms: D000368:Aged; D006801:Humans; D017116:Low Back Pain / Q000000981:diagnostic imaging*; D008297:Male; D013902:Radiography, Thoracic