Bone metastasis - breast cancer

Case contributed by Chris O'Donnell , 8 Feb 2012
Diagnosis almost certain
Changed by Dylan Kurda, 21 Sep 2015

Updates to Case Attributes

Diagnostic Certainty was set to .
Body was added:

In an adult patient with a single bone lesion, metastasis is still the most likely diagnosis especially in a patient with known malignancy. MRI shows that this is in fact not one lesion but multiple.

Breast metastases were diagnosed at hip replacement performed in order to prevent pathological fracture.

  • +<p>In an adult patient with a single bone lesion, metastasis is still the most likely diagnosis especially in a patient with known malignancy. MRI shows that this is in fact not one lesion but multiple.</p><p>Breast metastases were diagnosed at hip replacement performed in order to prevent pathological fracture.</p>

Updates to Study Attributes

Findings was added:

Scalloped lytic lesion in the right femoral head - looks well defined. 

Study performed about 12 months previously is normal. 

Images Changes:

Image X-ray (Frontal) ( update )

Perspective was set to Frontal.
Single Or Stack Root was set to .
Description was removed:
Scalloped lytic lesion in the right femoral head - looks well defined

Updates to Study Attributes

Findings was added:

Isolated "hot" lesion in the right femoral head although there is minor linear activity in the L4 vertebral body. Note the excretion of isotope into a horseshoe kidney

Images Changes:

Image Nuclear medicine ( update )

Description was removed:
Isolated "hot" lesion in the right femoral head although there is minor linear activity in the L4 vertebral body.  Note the excretion of isotope into a horseshoe kidney
Single Or Stack Root was set to .

Updates to Study Attributes

Findings was changed:

In an adult patientScalloped lesion in the bone marrow with a single bone lesion, metastasis is still the most likely diagnosis especially in a patient with known malignancysurrounding oedema and joint effusion MRI shows that this is in fact not one

Marked enhancement of femoral head lesion but multiple.  Breast metastases were diagnosed at hip replacement performednote several smaller satellite lesions in order to prevent pathological fracturethe femoral neck.

Patient has fibroid uterus.

Images Changes:

Image MRI (T1) ( update )

Perspective was set to Coronal.
Single Or Stack Root was set to .

Image MRI (T2 fat sat) ( update )

Perspective was set to Coronal.
Single Or Stack Root was set to .
Description was removed:
Scalloped lesion in the bone marrow with surrounding oedema and joint effusion

Image MRI (T1 C+ fat sat) ( update )

Perspective was set to Axial.
Description was removed:
Marked enhancement of femoral head lesion but note several smaller satellite lesions in the femoral neck. Patient has fibroid uterus.

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