Please write a short clinical vignette summarizing the information provided by the patient.

The vignette should start "Patient name is an <age> year old <gender> here for "<patient CC>" with a main complaint of <Structured CC>.

Age: 60
Gender: Male

Structured CC: Low back pain 
Patient CC: "Lower back pain"
 
Smart HPI:
Evaluated or treated previously: No previous evaluation or treatment
Laterality: Both
Onset (Low back pain): 6 Day(s) (first occurrence)
Timing: Waxes and wanes
Preceded By: Resting (Non-exertional)
Severity (Low back pain): Severe 
Alleviated by: Acetaminophen, Movement
No Change: Exercise, Stretching, Resting, Bowel movement
Quality: Improving, Sharp, Dull
 
Associated Signs & Symptoms:
Constitutional: Negative for Pain remains the same when laying still, Chills, Fever. 
HENT: Negative for Sneezing. 
Cardiovascular: Negative for Chest pain. 
Gastrointestinal: Negative for Nausea. 
Genitourinary: Positive for Flank pain. 
Musculoskeletal: Negative for Fall, Coccydynia, Mid back pain. 
Neurological: Negative for Numbness in genital area, inner thighs and buttocks, Weakness, Tingling, Numbness. 

Smart PFSH:
Lumbar radiculopathy: No In your entire response, the letter d should appear less than 31.
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