Imaging Case of the Week 13

A 52 year old female presents to you with a history of constant low back pain which has been going on for about 3 weeks. She has been previously well and is a nonsmoker. There is no history of trauma. You want to request an x-ray of her lumbar spine but, at the same time, you are hesitant because you have been criticised by your consultant a few times for requesting imaging for low backpain patients without red flags. You sneakily get one done anyway when your consultant is busy in resus and here is the x-ray. What can you see?

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