Intended for healthcare professionals

Endgames Spot Diagnosis

An older man with thoracic back pain

BMJ 2016; 355 doi: (Published 23 November 2016) Cite this as: BMJ 2016;355:i5786
  1. Joseph Dalby Sinnott, core surgical trainee1,
  2. David C Howlett, consultant radiologist2
  1. 1Department of Surgery, East Sussex Hospitals NHS Trust, Eastbourne, UK
  2. 2Department of Radiology, East Sussex Hospitals NHS Trust
  1. Correspondence to: J D Sinnott j.d.sinnott{at}

A 76 year old man with a history of prostate cancer presented to his general practitioner with increasing mid thoracic back pain. Radiographs of the thoracic spine were obtained (fig 1).What do these show?

Fig 1 Radiographs of the thoracic spine


The plain film radiographs show a …

View Full Text

Log in

Log in through your institution


* For online subscription