The X-Ray given below is of a 65 year old man who came with severe back pain and evening rise of temperature since the last 2 weeks. In addition to the extensive amount of osteophytes, we just could not come to a conclusion on a faint homogenous opacity jutting out to the left at L3-L4. His ESR is 124 mm.
Kindly throw light if anybody has a clue about what it could be.