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A 57 year old man presents with progressively worsening low back pain over four ...

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A 57 year old man presents with progressively worsening low back pain over four weeks. He has not experienced back pain previously.  There is no history of trauma and no recent weight loss.  Physical examination is normal.  Lumbar spine Xrays are unremarkable. Full blood count is normal except for mildly increased white cell count. Serum CRP is 143 mg/L (<5).  Which of the following is the most likely diagnosis?
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