Lower Back Pain

A 67 years female patient presented to our hospital with complaints of low back pain radiating to the right buttock for one month with a visual analogue scale (VAS) score of 7. There was no associated fever or significant trauma in the recent past. She had no other medical or surgical history in the past. Clinically, there was no tenderness over the lumbar spine. The patient was neurologically intact. After initial conservative treatment failed, subsequent imaging showed a significant increase in the size of the lesion with focal signal changes in disc space, which gave suspicion of underlying secondary pathology. The patient was operated upon for complete excision of the lesion. Histopathology was done for the excised lesion.