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The patient is a 55-year-old female who experienced a blow to the back when she fell while riding a bus. She complains of pain in her neck, shoulder, and back.
On examination, you find that her vitals are stable and she has no significant past medical history.
View the x-ray taken (Figure 1) and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page. (Hint: this is an incidental finding.)
Clinical Challenge: December, 2008
Nahum Kovalski, BSc, MDCM
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