General Spine Uei Pua, MBBS, MMed, FRCR, FAMS, Arun Thomas, MBBS, FRCR, Non ASSR Member Excerpta Extraordinaire Mentor Award: No Institution where work was conducted Tan Tock Seng Hospital Affiliation and Department Diagnostic Radiology Address 11 Jalan Tan Tock Seng Singapore, Alabama 308433 Phone: 97547525 Email: [email protected] A 38 year old man with achondroplasia, presented with exacerbation of chronic low back pain, with radiation to both lower limbs. Apart from external features of achondroplasia, physical examination including neurological examination of the lower limbs was essentially unremarkable. Frontal and lateral radiographs of the lumbar spine demonstrate typical features of achondroplasia: decreased lumbar interpedicular distance, posterior vertebral scalloping, short pedicles with narrow spinal canal and hyperlordosis with a horizontal sacrum. 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