No abstract available. Article truncated at 150 words. History of Present Illness A 68 year old woman was seen for increased back pain in April 2012. In 2000 she had a right lower lobe lung resection for low grade adenocarcinoma, bronchoalveolar type, nonmucinous. Her mass was 2.6 cm in maximal dimension extending to but not invading the pleura. There were clear surgical margins but involvement of one bronchial node. Multiple mediastinal nodes were negative. She had back pain for many years and yearly CTs were negative for metastatic disease. PMH, SH, FH Other than the above there was no significant past medical history, social history or family history. Medications Non-steroidal anti-inflammatory drugs for pain Nitrofurantoin for chronic urinary tract infections Physical Examination There was tenderness to palpation over the mid-thoracic spine and evidence of a previous thoracotomy. Laboratory Her complete blood count (CBC), urinanalysis, liver function tests, and calcium were all within normal limits. Radiology An x-ray of …