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Review Question - QID 4909

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QID 4909 (Type "4909" in App Search)
A 60-year-old female presents with a 2 week history of low back pain. The pain is described as a dull, persistent ache and radiates down to her buttocks but not past the horizontal gluteal crease. She has a history of Type 2 diabetes mellitus and urinary incontinence. Examination reveals loin tenderness, paravertebral muscle spasm and diminished reflexes but full strength and sensation in the lower extremities. T2-, T1-weighted, and T1 contrast enhanced sagittal MRI images are shown in Figures A through C, respectively. What is the most likely diagnosis and most appropriate treatment plan
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  • B
  • C
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  • C