فتاة عمرها ١٢ سنة لاحظت أمها أن كتفاً أعلى من الآخر، وعند الانحناء للأمام يظهر بروز في جهة من الظهر. ما الأرجح؟

A 12-year-old girl’s mother notices one shoulder higher than the other, and on bending forward one side of the back is prominent. What is most likely?

1. Ankylosing spondylitis
2. Scoliosis
3. Normal adolescent kyphosis
4. Disc herniation

Answer: B) Scoliosis. Shoulder asymmetry and a rib hump on forward bending (Adams test) indicate scoliosis, commoner in girls during growth; monitored with X-ray and sometimes braced or operated.