57-year-old female with left hip pain. Evaluate for hip fracture versus metastases. BONE MARROW: There are multiple foci of bone marrow signal abnormality consistent with osseous metastatic disease involving the intertrochanteric region of the right femur, right iliac bone, left iliac bone, left superior acetabulum, and right sacrum. There is associated enhancement on postcontrast sequences. Note is made of decreased linear signal abnormality within the left iliac crest traversing the aforementioned metastatic lesion consistent with a pathologic fracture with minimal lateral displacement of the superior fracture fragment.SOFT TISSUES: Increased signal abnormality within the gluteal musculature on the left and left iliac musculature adjacent to the aforementioned metastatic lesion. There is an associated soft tissue component extending beyond the cortex of the left iliac bone adjacent to the aforementioned metastatic lesion. JOINTS: There is an osseous metastatic lesion involving the superior aspect of the left acetabulum. The left femoroacetabular joint alignment is anatomic. There is no evidence of a left femoral fracture.ADDITIONAL
Multiple foci of osseous metastatic disease involving the imaged bones of the pelvis as described above. There is an associated pathologic fracture through the left iliac crest with associated slight lateral displacement of the superior fracture fragment. Other findings as described above.