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A 55-year-old male presents with a 6 month history of low back pain. Radiographs of the spine are shown in Figures A and B and a lateral knee radiograph is shown in Figure C. A urine specimen is exhibited in Figure D. What is the most likely diagnosis in this patient?
Disseminated idiopathic skeletal hyperostosis (DISH)
Chondrodysplasia punctata (Conradi–Hünerman)
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