Sclerotic bony metastases

Case contributed by Vikas Shah
Diagnosis almost certain


Vague pain in both hips. Raised calcium and alkaline phosphatase.

Patient Data

Age: 75
Gender: Male

Pelvis x-ray


Patchy sclerosis is present within the superior and inferior pubic rami on both sides of the pelvis. Mild degenerative change is seen in both hips joints. No fracture or dislocation.

Bone scan

Nuclear medicine

Intense radiotracer activity is present in the pelvic bones at the sites of abnormality on the x-ray. In addition, there are numerous other foci of activity involving the ribs, vertebrae, and left femoral neck.

Case Discussion

In an older male patient with new sclerotic bony lesions, metastasic disease from prostate carcinoma is the top differential.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.