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A 73-year-old man presented with a 4-month history of increasing low-back pain. Upon physical examination, deep tendon reflex and muscle strength of both lower limbs were normal, but paraesthesia on his left thigh was observed. A plain lumbar spinal radiograph showed a compression fracture within the L2 vertebra and absent pedicle sign at both L1 and L2. Because a spinal tumour was suspected, magnetic resonance imaging was performed, which revealed a loculated cystic mass with multivesicular lesions in the thoracolumbar spine (figure …
Competing interests None.
Patient consent Obtained.
Ethics approval This study was conducted with the approval of the Hokkaido University Hospital.
Provenance and peer review Not commissioned; externally peer reviewed.