Metastatic renal cell carcinoma to bilateral femurs, status post ORIF of left femur. Evaluate for progression. Right femur: Lytic lesions noted in the distal diaphysis of femur also seen on prior MRI. Endosteal scalloping concerning for impending fracture.Left femur: Trochanteric femoral rod extending into distal diaphysis with additional screw in femoral head. Lesion in distal diaphysis that has been curettaged, packed with cement, and fixed with sideplate with multiple screws.
Lytic lesions in distal diaphysis of right femur with cortical thinning concerning for pending fracture. Trochanteric femoral rod in left femur with lesion in distal diaphysis that has been curettaged, packed with cement, and fixed with sideplate with multiple screws.