Female 59 years old Reason: new met, fracture, dislocation History: left elbow pain There is soft tissue swelling predominantly along the dorsal aspect of the forearm. There is also elevation of the fat pads indicating a joint effusion. We see no fracture line. There is a mottled appearance of the coronoid process of the ulna with poor definition of the cortex best seen on the internal oblique view. This corresponds to a focus of increased radiotracer activity on a bone scan in 2015, suggesting metastatic disease. If further evaluation is clinically warranted, MRI may be obtained.
1.Soft tissue swelling and joint effusion without fracture.2.Findings suggestive of metastatic disease to the proximal ulna. MRI may be helpful for further evaluation, if clinically warranted.