Rounds 8

• Back to Clinical History and Radiographs
• What is the Differential Diagnosis?
• What is the Correct Diagnosis?

Radiographic Findings

Film 1 Radiographs of the left shoulder reveal a 4 x 3 cm expansile lesion (red arrow)with a sclerotic rim in the lateral margin of the scapula.

Film 2 There is a large lytic lesion (red arrow) in the proximal left femur, and multiple lesions (yellow arrows) of varying sizes are seen throughout the pelvis as well. The pelvic lesions show varying amounts of surrounding sclerosis, with some showing sclerosis within the lesion.

Film 3 Radiographs of the left hand reveal a 1 cm lytic lesion (red arrow) in the third metacarpal head, an eccentrically located sclerotic lesion in the midportion of the 4th metacarpal bone, and a smaller radiolucent defect (yellow arrow) in the proximal phalanx of the middle finger.

Film 1

Film 2

Film 3

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