Sclerotic bony metastases
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Vague pain in both hips. Raised calcium and alkaline phosphatase.
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.
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.
In an older male patient with new sclerotic bony lesions, metastasic disease from prostate carcinoma is the top differential.
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