67-year-old male with history of metastatic bladder cancer presents with left arm weakness, shoulder pain, lower extremity weakness, and left hip pain. Left shoulder: There is a 2.5 cm ovoid lucent lesion within the proximal humeral diaphysis compatible with stated history of metastatic disease. We see no fracture. Mild osteoarthritis affects the glenohumeral and acromioclavicular joints. The humeral head is slightly high riding suggesting chronic rotator cuff tear or atrophy. There are surgical staples within the axilla.Left hip: There is osteolysis of the lesser trochanter indicating metastatic disease, but we see no fracture. Additional metastatic lesions are noted within the right ischium. Several additional metastatic lesions are identified within the proximal femur and bones of the pelvis, which are better seen on recent MRI examination. Mild osteoarthritis affects the hip.
Metastatic disease as described above. We see no fracture on these studies.