Reason: Hx: met breast cancer History: pain Exam is mildly limited by metal artifact from right hip intramedullary rod. There are numerous enhancing lesions throughout the pelvis and imaged proximal femurs compatible with metastatic lesions. Of note, there is 2.1 x 1.9 cm lesion at the femoral head and neck junction of the left hip, concerning for future pathologic fracture. There is also proximal diaphyseal lesion of the left femur measuring approximately 3.3 x 2.2 cm with marked cortical thinning, also concerning for future pathologic fracture.
Numerous enhancing lesions throughout the pelvis and imaged proximal femurs compatible with metastatic lesions. Of note, there are femoral head and neck junction lesion and proximal diaphyseal lesion of the left femur concerning for future pathologic fracture as above.