Multiple myeloma - right proximal femur
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Right hip pain.
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Lytic bone lesion in the femoral neck with a permeative appearance to the cortex. No calcified periosteal reaction. Posteriorly there is a small extraosseous soft tissue mass with cortical erosion. No other bone lesion in the field of view. No inguinal lymphadenopathy.
The permeative cortical appearance is concerning and is mainly a differential of malignancy (e.g. multiple myeloma, lymphoma, sarcoma) and infection. After work-up, and despite the young age, this patient was diagnosed with multiple myeloma.
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