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Review Question - QID 3805

Metastatic Disease of Spine Evaluation Workup for older patients with single bone lesion and unknown primary includes QID: 3805 (SBQ12SP.107)
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QID 3805 (Type "3805" in App Search)
A 67-year-old woman presents for evaluation of severe back pain localizing to the thoracic spine. She denies any recent trauma or past medical history and is generally healthy, though admits to recent unintended weight loss. Physical examination is notable for tenderness of the thoracic spine and no neurological deficit. Radiographs of the spine are normal. You obtain an MRI which is shown in Figure A. In addition to laboratory studies, which of the following is the most appropriate next step?
  • A
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  • A