71-year-old female with right hip and femur pain. History of metastatic head and neck cancer. There is a poorly defined lucency within the proximal femoral diaphysis at the level of the inferior margin of the lesser trochanter. This is nonspecific, but could conceivably represent a small metastatic focus. This could be further evaluated with either MRI or skeletal scintigraphy if clinically warranted. We see no lesions within the distal femur. The right hip joint appears normal. Mild osteoarthritis affects the sacroiliac joint.
1 cm poorly defined lucency in the proximal femoral diaphysis is nonspecific, but could conceivably represent a small metastatic focus, and could be further evaluated with MRI if clinically warranted.