English: Pedicle stress reaction in an 18-year-old male wrestler complaining of left-sided back pain. Incidental finding of a small old avulsion fracture of the right sacral ala at the joint capsule insertion a Axial fused SPECT/CT image shows mildly increased uptake at the left L4 pedicle, which on axial CT image (c) is associated with sclerosis in the left pedicle region. b Fused SPECT/CT axial image of the sacrum shows minimal uptake associated with a small avulsion fracture at the right sacral ala on axial CT image (d).
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Pedicle stress reaction in an 18-year-old male wrestler complaining of left-sided back pain. Incidental finding of a small old avulsion fracture of the right sacral ala at the joint capsule insertion a Axial fused SPECT/CT image shows mildly increased uptake at the left L4 pedicle, which on axial CT image (c) is associated with sclerosis in the left pedicle region. b Fused SPECT/CT axial image of the sacrum shows minimal uptake associated with a small avulsion fracture at the right sacral ala...
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