Presentation
Know prostate carcinoma. Increasing pelvic pain.
Patient Data
Age: 70 years
Gender: Male
From the case:
Sclerotic bone metastases - prostate cancer
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Coarsening and sclerosis of the entire pelvis and visualized lumbar spine.
Urinary catheter in situ.
Case Discussion
In an elderly male these appearances are of diffuse infiltrative sclerotic metastases from a prostate carcinoma primary.
A differential does exist, but this will be right almost always in this patient demographic.