Humeral lytic metastasis (radiograph)

Case contributed by Dai Roberts
Diagnosis almost certain

Presentation

Hemoptysis. Shoulder pain.

Patient Data

Age: 75 years
Gender: Male

Lytic lesion within the medial humeral metaphysis, with associated cortical destruction and inferiorly a wide zone of transition.  No further lesions evident. No lung nodule or mass.  Features could be due to a metastasis, myeloma, or lymphoma.

Case Discussion

A subsequent CT showed a lung mass and this lesion was deemed to be a lytic lung cancer metastasis.  Bone metastasis can be described as lytic/ lucent, sclerotic, or mixed

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