This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Musculoskeletal Radiology, Subject name: Radiology
Blow out expansile bone metastasis is seen with? 
Select and explain. 
A. Renal cell Carcinoma, B. Bronchogenic carcinoma, C. Breast carcinoma, D. Prostrate carcinoma
A: Renal cell Carcinoma
Answer: A: Renal cell Carcinoma 
Explanation: Expansile Bone Metastasis / Blow Cut bone metastasis are typically seen in Renal Cell Carcinoma Thyroid Cancer Hepatocellular Carcinoma Above radiograph shows an expansive bone metastasis is seen in distal end of femur in case of RCC. Cookie Bite Metastases are characterized by eccentric lytic coical destruction in long tubular bones, typically seen in bronchogenic carcinoma. Prostrate cancer is most common cause for sclerotic bone metastasis. Breast cancer produces mixed lytic and sclerotic lesions.