Sclerotic bone metastases - prostate cancer
Know prostate carcinoma. Increasing pelvic pain.
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Coarsening and sclerosis of the entire pelvis and visualised lumbar spine.
Urinary catheter in situ.
In an elderly male these appearances are of diffuse infiltrative sclerotic metastases from a prostate carcinoma primary.
A differential does exist, but this will be right almost always in this patient demographic.