Sclerotic bony metastases

Case contributed by Dr Vikas Shah


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.

Nuclear medicine

Bone scan

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.

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Case information

rID: 50181
Published: 22nd Dec 2016
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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