patient presents with constant dermatome leg pain. MRI repor | Figure 1

patient presents with constant dermatome leg pain. MRI reports nil lumbar disc pathology. Any thoughts on differential diagnosis?

Similar cases

other then the bulges/herniations there are erosions and sclerotic areas on the L4/L5 vertebrae....... what is that? Am I missing anything else? 35 year old female with radiating pain from low back into the left SI joint for the past five years. Pain has not progressed in that time period. Also complains of hip pain for the past year. An MRI was also taken of the hip revealing 3mm adnexal cyst and 5mm cyst in the acetabulum. Previous MRI was taken in 2007 revealing bulges at that time but she doesn't have the images or report so I was unable to compare.Thanks for the help in advance.]

16 yo male, HOH, football player. Evaluated by me during high school sports screens. Marked decrease in motion of all planes (no pain or other symptoms, UE/LE strength and neuro WNL). No PMH or MOI to account for loss of motion. Low hairline and fullness in his left trapezius area. I was extremely convened that the ATC,nor his PCP had ever picked up on this dx.]

Neoplasia de Coluna Lombar](https://app.figure1.com/case-detail/21da07d4-02d7-4adf-898f-2298c732173d)

I was told this is a Vertebral Hemangioma of L4. 36 y/o F. Hx of back pain for 5+ years. No major trauma reported. Is a Bx appropriate course of action?](https://app.figure1.com/case-detail/2a9fda04-cd11-45f8-912f-dd4fda0032a7)

A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.](https://app.figure1.com/case-detail/ae0fe999-6875-4474-94f0-ad823dbb9b3a)

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.](https://app.figure1.com/case-detail/c271070f-2bc7-4052-9895-635277e1a7d5)

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.](https://app.figure1.com/case-detail/48f41642-b9db-4089-b120-a94ee52328de)

patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?](https://app.figure1.com/case-detail/2af390e1-ace8-40ed-ba1c-98fb2d72f4c5)