This case involves a middle aged woman who presented to her primary care physician with complaints of pain in her lower back that had persisted for some time. The woman was referred to an orthopedic specialist, who ordered an MRI of her lower back with contrast that showed evidence of a vertebral fracture. The patient then underwent a surgical procedure to stabilize the fracture, and to take a biopsy of the area to rule out any malignancies. Despite the fact that the biopsy was positive for cancerous cells, no further action was taken and the patient was not informed of the findings. A year later, the patient discovered that she was suffering from metastatic bone cancer.