title: Identification of Metastatic Lesions in a Patient With Low Back Pain Following a Motor Vehicle Collision.
abstract: A 58-year-old man was referred to physical therapy with a primary complaint of intermittent low back pain (LBP) 2 weeks after being in a motor vehicle collision. The absence of red flags justified the initiation of treatment, but when symptoms of unrelenting LBP emerged, he was referred to his primary care physician with a request for further medical workup. Before further imaging work-up was performed, the patient presented to the emergency room with a urinary complaint; this, in combination with unrelenting LBP, prompted further imaging follow-up. Lumbar/thoracic spine magnetic resonance imaging revealed multiple compression fractures and diffuse bone marrow heterogeneity consistent with a malignant infiltrative marrow process. The patient underwent additional laboratory testing and a bone marrow aspirate and biopsy that confirmed the diagnosis of multiple myeloma.
authors.forename: Lindsey M
authors.initials: LM
authors.lastname: Plass
authors.forename: Terrence G
authors.initials: TG
authors.lastname: McGee
authors.forename: James M
authors.initials: JM
authors.lastname: Elliott
mesh_terms: D000063:Accidents, Traffic; D019046:Bone Marrow Neoplasms / Q000473:pathology / Q000503:physiopathology / Q000556:secondary*; D050815:Fractures, Compression / Q000209:etiology; D006801:Humans; D017116:Low Back Pain / Q000209:etiology*; D008159:Lumbar Vertebrae / Q000293:injuries; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D018986:Motor Vehicles; D009101:Multiple Myeloma / Q000473:pathology / Q000503:physiopathology / Q000556:secondary*; D013904:Thoracic Vertebrae / Q000293:injuries
keywords: lumbar spine; magnetic resonance imaging; thoracic spine