I practice Pain Management in Bakersfield, CA. I happened to see a patient (70 yr) with more than 10 yrs of back pain treated by multiple doctors with diagnosis of lumbar disc degeneration and arthritis (no MRI). On his first visit with me for exacerbation of his back pain, I happened to find severe sacroiliac arthritis with Lumbar disc degeneration. While patient is under fluoroscopy machine for SI Joint injection, I happened to observe very large Aortic Aneurysm and ended up having emergency surgery for leaking (may be just started) abdominal aneurysm surgery, whcih saved his life. Along with Mayo clinic’s story, this case also cautions us to keep this condition in mind during patient check ups for abdominal and back pain.