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The identification of lytic vertebral lesions on magnetic resonance imaging usually points to tumor metastasis in adults. We present a 47-year-old female complaining of back pain who had palpable breast mass and a vertebral lytic lesion on magnetic resonance imaging. Detailed investigation yielded the diagnosis of Langerhans cell histiocytosis rather than tumor metastasis.doi:10.31138/mjr.27.3.108 fatcat:zbwcbefkz5bjhd4fovxlzc4oa4