Presentation
Chest pain. History of prostate cancer.
Patient Data
No discrete focal pneumonia, effusion or pneumothorax. No discrete lung nodule.
Extensive, diffuse and dense sclerotic metastatic disease in the axial skeleton including bilateral ribs, the clavicles and shoulders due to prostate cancer.
The heart and central pulmonary vascularity appear normal considering technique.
The upper abdomen appears normal.
Case Discussion
Patients with advanced prostate cancer often develop bone metastases, leading to bone pain, skeletal fracture, and increased mortality. Drugs to treat bone metastasis and alleviate pain include bisphosphonates, denosumab, and corticosteroids. Radiation therapy, radiopharmaceuticals, and surgery are other methods to slow bone growth.
This case was submitted with supervision and input from:
Soni C. Chawla, M.D.
Health Sciences Clinical Professor,
Department of Radiological Sciences,
David Geffen School of Medicine at UCLA.
Attending Pediatric Radiologist,
Olive View - UCLA Medical Center.