Title: July 2013 – Foreign object evident on PA spine scan

A 67 year-old Caucasian woman presents for a first bone density test. She has
Type 2 diabetes, obesity and obstructive sleep apnea. Height is 61.5 inches with weight of 171.0 lbs., down 40 KG over the last year.

Questions:

  • Based on the current bone density, what is the diagnosis?
  • What vertebrae would you exclude from the assessment?
  • What do you think the artifact is at L4?
  • Does L3 look normal?

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