14th September 2020

A 60-year-old male presents with progressively worsening lower back pain

A 60-year-old male presents with progressively worsening lower back pain, over the past 6 months. He also complains of persistent tiredness. Investigations reveal anaemia and raised serum creatinine. He has no other past medical history of note, and reports no other symptoms on systematic review.

For the patient above, please select the SINGLE most likely diagnosis. Select ONE option from the list above.