case_images: PMC10836181_01
case_images: Magnetic resonance imaging (MRI) scan revealed a lytic necrotic lesion characterized by hyperintense signal intensity on T2-weighted images in the right humerus (arrow). Sagittal (A) and axial views ( B).
case_images: cureus-0016-00000051579-i01.jpg
case_images: PMC10836181_01_cureus-0016-00000051579-i01.jpg
case_images: FIG1
case_images: His past diagnosis of metastatic ES was confirmed through the diagnostic evaluation of a right humerus lesion on a magnetic resonance imaging (MRI) scan, which unveiled significant findings as shown in Figure 1.
case_images: Computed tomography (CT) scan showing lung metastasis (A) and x-ray (B) and CT scan showing bone metastasis in the ischial tuberosity from ES (C).
case_images: cureus-0016-00000051579-i02.jpg
case_images: PMC10836181_01_cureus-0016-00000051579-i02.jpg
case_images: FIG2
case_images: He had a prior history of lung metastasis and bone metastasis to the ischial tuberosity (Figure 2,3).
case_images: Magnetic resonance imaging (MRI) scan showing metastatic spinal cord compression.
case_images: cureus-0016-00000051579-i04.jpg
case_images: PMC10836181_01_cureus-0016-00000051579-i04.jpg
case_images: FIG4
case_images: They now face two critical spinal lesions: cauda equina invasion at the L5 to S3 spine and cord compression at the upper thoracic spine (T2 to T3) as shown in Figure 4.
case_images: Chest X-ray showed pneumonitis most likely due to radiation.
case_images: cureus-0016-00000051579-i05.jpg
case_images: PMC10836181_01_cureus-0016-00000051579-i05.jpg
case_images: FIG5
case_images: During his hospitalization, he underwent a bronchoscopy due to concern for pneumonia or the possibility of radiation pneumonitis as shown in Figure 5.