Description

The patient is a 53-year-old female with an acute onset of radiating severe lower back pain 10/10 complaint that started 3 days ago. History is significant for left breast cancer 5 years ago; status-post unilateral mastectomy, chemotherapy, and breast reconstruction, and a 20 pound unintentional weight loss in the last 6 months. Physical exam reveals elevated BP 142/80, right lower extremity motor deficit, sensory deficit, patellar hyperreflexia, abnormal straight leg raise on the right, and right upper quadrant pain with associated with hepatomegaly.