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Plaintiff, a 62-year old Type I diabetic, presented to OSU ER with sharp mid back pain radiating around her ribs and chest. Admitted for cardiac work up. CTA ruled out PE and aortic pathology and serial labs ruled out cardiac. Radiologist missed subtle inflammation at T7. Over the next 2 days, hospitalist failed to order MRI to rule in/out MSK origin despite fever, periapical abscess and confirmed bacteremia. On day 4, she became paralyzed and incontinent of bowel and bladder. MRI revealed a spinal epidural abscess.