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A 73-year-old man presented to the neuromuscular clinic when his wife noted scalloping of his back muscles. He had neither noticed this muscle loss nor felt any weakness or sensory symptoms. He was treated for testicular cancer 35 years ago with abdominal surgery and had undergone mediastinal and para-aortic irradiation to treat the lymphatic …
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed. This paper was reviewed by Jon Walters, Swansea, UK.