case_images: PMC11831058_01
case_images: Non-contrast CT of the chest revealing pleural effusion, patulous oesophagus and lesions of the left posterior fourth rib. The leftmost arrow points towards the pleural effusion, the middle arrow to the patulous oesophagus, and the rightmost arrow to the lesions of the left posterior fourth rib.
case_images: bcr-18-2-g001.jpg
case_images: PMC11831058_01_bcr-18-2-g001.jpg
case_images: F1
case_images: A CT chest without contrast was obtained and revealed bilateral pleural effusions, a patulous oesophagus and lesions of the left posterior fourth rib (figure 1).
case_images: Nuclear bone scan revealing increased radiotracer uptake within the right second lateral rib, left fourth posterior rib, right lateral eighth rib, T11, T12 and L1 vertebral bodies and left ilium and multiple joints.
case_images: bcr-18-2-g002.jpg
case_images: PMC11831058_01_bcr-18-2-g002.jpg
case_images: F2
case_images: A nuclear bone scan was obtained and revealed increased radiotracer uptake in several bones (figure 2).