This case takes place in California and involves a female with a past medical history of Ankylosing Spondylitis. Her condition was stable and she’d been managed effectively for about one year under the care of a rheumatologist. The patient suffered an injury to her back after falling down the stairs and presented to the ER. The patient was worked up for her back pain and a CT scan revealed no new injuries. She followed up with her rheumatologist who administered several treatments to address her ongoing pain. Some time later, she presented to the ER complaining of a minor lack of sensation in her hips. The physicians decided that the patient needed an MRI. The plaintiff was sedated and forced to lay flat for the medical imaging. During the MRI the patient experienced the sudden onset of total numbness in her lower extremities. Emergent surgery was ordered which identified multiple injuries to her lower spine that had gone undetected during her initial visit to the emergency room. The patient is now a paraplegic.