Question 1740
{"accessible":true,"alternatives":[{"id":8646,"text":"Baastrup syndrome"},{"id":8647,"text":"discitis/osteomyelitis at L2/L3"},{"id":8648,"text":"minimally impacted sacral fracture"},{"id":8649,"text":"Modic 2 endplate changes"},{"id":8650,"text":"Modic 3 endplate changes"}],"archived":false,"correctAlternativeId":8647,"explanation":"\u003cp\u003eEndplate erosions and disc height loss should alert the interpreter to \u003ca href=\"/articles/spondylodiscitis\"\u003ediscitis/osteomyelitis\u003c/a\u003e. \u003ca href=\"/articles/modic-type-endplate-changes\"\u003eModic 2 endplate changes\u003c/a\u003e\u0026nbsp;(fatty) are not evident on radiographs.\u0026nbsp;\u003ca href=\"/articles/baastrup-syndrome\"\u003eBaastrup syndrome\u003c/a\u003e\u0026nbsp;develops when there is contact/ kissing between the spinous processes, which is present, however not the most relevant finding in this case.\u003c/p\u003e","id":1740,"imageUrl":"https://prod-images-static.radiopaedia.org/images/53208420/8452bbc5b1b325b929b67c89874f42_big_gallery.jpeg","imageAttribution":{"kind":"case","rID":80547},"imageAttributionCaseInfo":{"title":"Discitis/osteomyelitis (radiograph)","contributor_name":"Dai Roberts","contributor_param":"dgroberts08","case_rid":80547,"case_param":"discitisosteomyelitis-radiograph"},"firstQuestionPath":"/questions/2778","nextQuestionPath":null,"relatedArticles":[{"id":4966,"title":"Spondylodiscitis","link":"/articles/spondylodiscitis?lang=us"},{"id":12146,"title":"Modic type endplate changes","link":"/articles/modic-type-endplate-changes?lang=us"}],"alsoUsedIn":[],"stem":"\u003cp\u003eWhat is the most pertinent finding on this lateral lumbar spine radiograph, performed on a 75-year-old with back pain?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/1740"}],"attemptsPercentages":[{"alternativeId":"8646","percentage":20},{"alternativeId":"8649","percentage":10},{"alternativeId":"8647","percentage":45},{"alternativeId":"8648","percentage":4},{"alternativeId":"8650","percentage":21}],"promptToLogin":false,"questionManager":false,"articleId":"baastrup-disease"}