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MediumOncologySuspected Spinal Metastasesukmlamrcgp aktpanemrcp part 1prescribing safety assessment

A 59-year-old woman with a history of breast cancer treated 5 years ago presents with persistent lower back pain for 2 months, worse at night and not relieved by simple analgesia. Neurological examination of the lower limbs is normal. ESR is 65 mm/hr. What is the most appropriate next investigation?

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