Severe pain in the right shoulder. No trauma.
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Huge destructive bone metastasis in the proximal humeral shaft and neck.
The right 4th rib is partially destroyed in keeping with a further metastasis.
Right upper lobe lung mass.
Wow, this is a huge bone metastasis.
Did you get happy that you spotted it or shocked by the size and switch off or did you correctly identify the primary lung tumor in the right upper lobe?
Nice examination film. Never forget the satisfaction of search.