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Review Question - QID 2269

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QID 2269 (Type "2269" in App Search)
You’re evaluating an 13-year-old new patient in your office for scoliosis, which was initially noticed on an annual school physical. Upon initial questioning, they endorses mild activity-related back pain that has been present since the start of soccer season 2 weeks ago. On exam, there is an obvious curvature with Adam’s forward bending test, normal symmetric reflexes, and no skin lesions. PA radiograph of the spine is shown in Figure 1. Which of the following factors may warrant MRI evaluation of the spine in this patient?
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