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Published on: December 16, 2021
Extraspinal Vascular Emergency on Lumbar Spine Magnetic Resonance Imaging (MRI): A Case Report
Arthur Ter-Pogosyan1, Milos M Cekic1, Avetis Azizyan1
1Radiology, Ronald Reagan UCLA Medical Center, Los Angeles, USA.
Cureus
|August 8, 2026
Summary
Radiologists should examine extraspinal findings on lumbar MRI for rare, life-threatening causes of back pain. A case revealed abdominal aortic dissection and psoas hematoma, crucial diagnoses missed by focusing solely on the spine.
Area of Science:
- Radiology
- Vascular Surgery
- Emergency Medicine
Background:
- Acute back pain is a common emergency department chief complaint.
- Lumbar spine MRI often focuses on musculoskeletal or neurologic issues, potentially overlooking other causes.
- Systematic evaluation of extraspinal structures on MRI is vital for identifying critical conditions.
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