Extensive destructive sclerosis in the right pubic rami and ischium with pathological fracture of the superior pubic ramus. There is an associated soft tissue mass extending into the pelvis and displacing phleboliths and the bowel.
Appearances are aggressive and would be atypical for metastasis and may represent a primary bony tumour such as an osteosarcoma. Correlation with CT and MRI required.
Right DHS with partially imaged.