Lesser trochanter metastasis

Case contributed by Henry Knipe
Diagnosis almost certain

Presentation

Right hip pain.

Patient Data

Age: 75 years
Gender: Female
x-ray
Frontal
Lateral
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Info

Permeative appearance of the right proximal femoral shaft. Cortical lucency at the right lesser trochanter and femoral shaft immediately inferior. No fracture. No other bone lesion identified.

This study is a stack
Sagittal
bone window
This study is a stack
Coronal
bone window
This study is a stack
Axial bone
window
This study is a stack
Axial
non-contrast
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Info

Permeative appearance of the right proximal femoral shaft. Cortical lucencies at the right lesser trochanter and femoral shaft immediately inferior involving around 50% of the cortex. No fracture. No other bone lesion identified.

Case Discussion

This patient had a known history of metastatic pancreatic cancer. Lesser trochanter lesions should be considered metastatic until proven otherwise.

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