71-year-old female with a history of metastatic breast cancer presents with right hip pain and lower back pain after fall. Lumbar spine:Again seen are pathologic compression fractures affecting the T12, L4, and L5 vertebral bodies, appearing similar to the prior study. Multiple sclerotic foci are identified within the vertebral bodies of the lumbar spine consistent with the patient's known history of metastatic disease. Vascular calcifications of the aorta.Right femur:Note is made of multiple sclerotic lesions within the imaged portions of the right hemipelvis including the right iliac bone and obturator ring. There are also sclerotic foci within the right femoral neck, intertrochanteric region, metaphysis and proximal diaphysis also consistent with metastatic disease. Mild degenerative changes affect the right hip. No acute fracture is evident. Deformity of the right obturator ring consistent with prior remote trauma as seen on prior MRI examination.
Osseous metastatic disease with multiple pathologic vertebral body compression fractures of the lumbar spine and deformity of the right obturator ring consistent with prior remote trauma/pathologic fracture.