Case Fourteen

Case Summary

Diagnosis:  Solitary Lytic Metastasis


Clinical hints:

Metastases are the commonest bone tumors in the adult population. This man had a left nephrectomy years ago for renal cell carcinoma. A solitary plasmacytoma might look the same, but it is rare.


Radiological Pearls:
  • single or multiple lytic lesions
     
  • may be expansile (e.g. renal cell ca)
     
  • may see soft tissue reaction
     
  • lesions seen earlier on bone scan

Films were kindly provided by Dr. G. Cooke.

 

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