Metastatic Disease
53 year old Caucasian female with bone metastases
Step 4: Imaging
Objective :
Recognize features of an abnormal X-ray
Tip 1
A fracture line can be appreciated at the base of the femoral neck, which is also significantly shortened. You can also see that the femur on the right has moved proximally and rotated due to the action of the psoas muscle.
CloseWhat are the most likely diagnoses?
Metastatic Disease
Tip 6This X-ray has many hallmarks of metastatic carcinoma. The cancers that most commonly spread to bone include breast, prostate, lung, renal cell carcinoma, and thyroid – all the 'paired' organs.
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