Prostatic bony metastases

Discussion:

The appearances are those of diffuse bony metastatic disease.  

The presence of pelvic and para-aortic lymphadenopathy raised the suspicion of a pelvis primary tumor.

CT of the abdomen and pelvis and transrectal ultrasound guided biopsy of the prostate were undertaken.

Histology demonstrated adenocarcinoma of the prostate.

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