Recent nondisplaced left superior pubic ramus fracture and segmental left inferior pubic ramus fracture, with likely evidence of early callus formation in the latter. No further acute fractures identified.
Presence of cortical thickening of bilateral proximal femoral heads and shepherd crook deformity. Multiple well-circumscribed cortically based lucent lesions most compatible with brown tumours in the context of renal osteodystrophy.