A 70-year-old male presented with a year long history of progressive and intense lower lumbar pain causing restrictions to perform day to day chores. He mentioned of going for PT sessions, however, there was no relief. The patient reported a palpable mass in the lower lumbar region without any new symptoms or size modulation. He did not report any associated constitutional or neurologic symptoms. Past History: Known case of HTN, dyslipidemia, and hyperuricemia.
Physical examination: Tenderness over the central and left paraspinal area with a fixed palpable mass (size 7 × 5 cm), hard in consistency, and no pulse. Increased intensity of pain with flexion, extension, and rotational trunk movements. Neurological examination: No abnormality detected. Investigations: X-ray- Bony mass protruding posteriorly, apparently from L5. CT scan- A 7 cm long well-limited mass with an apparent cartilage…
