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The left proximal femur has a well-defined lytic lesion with thin sclerotic margins, extending radially from the intertrochanteric region to involve the femoral neck, greater trochanter, and subtrochanteric region. A trans-cervical fracture line is present through this lesion, with some hypertrophic/buttressing bone at the fracture site medially.
The sacroliliac joints have sclerosis along their iliac margins bilaterally. Essure contraceptive coils are present.