Reason: assess for fracture, new bony mets History: non weight bearing, L hip pain, new bony mets to R sacrum, b/l ilium, R femur head w pathologic fracture in L ilial crest Pelvis: There is a mixed sclerotic and lytic lesion in the left ilium with a nondisplaced small pathological fracture in the nonweightbearing portion of the left ilium. The right ilial, right sacral and the right femoral metastatic lesions are better characterized on the MRI from today.Right hip: The right intertrochanteric femoral metastatic lesion is subtly seen with no associated pathological fracture.
Multiple metastatic lesions as described above, with a nondisplaced small pathological fracture in the nonweightbearing portion of the left ilium.