OCAD MSK

History

48M with incidental lesion on CT scout 2 weeks ago, partial Rt nephrectomy 5 years ago for RCCA

Figure 1 for case tumor-like lesion of bone ( RID3944 ) — Figure 1

Figure 2 for case tumor-like lesion of bone ( RID3944 ) — Figure 2

Figure 3 for case tumor-like lesion of bone ( RID3944 ) — Figure 3

Discussion

I know we have had a lengthy discussion about the virtues (or not) of routinely evaluating scout images. My body image colleague managed to find this one. I had been favoring benign fibrous or chondroid lesion that is at risk for pathologic fracture due to cortical thinning, expansion and scalloping, but now I wonder about RCCA metastasis. Is there any imaging that would obviate the need for biopsy in this case?

Diagnosis

tumor-like lesion of bone ( RID3944 )

Hilary Umans, MD

Courtesy

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