system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 62-year-old man comes to the physician because of increasing pain in his right leg for 2 months. The pain persists throughout the day and is not relieved by rest. He tried taking acetaminophen, but it provided no relief from his symptoms. There is no family history of serious illness. He does not smoke. He occasionally drinks a beer. Vital signs are within normal limits. On examination, the right tibia is bowing anteriorly; range of motion is limited by pain. An x-ray of the right leg shows a deformed tibia with multiple lesions of increased and decreased density and a thickened cortical bone. Laboratory studies show markedly elevated serum alkaline phosphatase and normal calcium and phosphate levels. This patient is most likely to develop which of the following complications?
assistant
Impaired hearing