case_images: PMC7204840_01
case_images: X-ray of the pelvis and lateral view of the hip showing avulsion fracture of the lesser trochanter.
case_images: cro-0013-0436-g01.jpg
case_images: PMC7204840_01_cro-0013-0436-g01.jpg
case_images: F1
case_images: X-rays were taken of the pelvis, which demonstrated an avulsion fracture of the right lesser trochanter (Fig. 1).
case_images: Coronal MRI STIR images of the pelvis showing infiltrative marrow metastasis.
case_images: cro-0013-0436-g02.jpg
case_images: PMC7204840_01_cro-0013-0436-g02.jpg
case_images: F2
case_images: MRI demonstrated an irregular low T1 marrow signal in the right femur at the avulsion site in keeping with an infiltrative marrow metastasis (Fig. 2).
case_images: CT scan of the chest showing a small tumour mass in the right lower lobe.
case_images: cro-0013-0436-g03.jpg
case_images: PMC7204840_01_cro-0013-0436-g03.jpg
case_images: F3
case_images: CT scan of the chest demonstrated a T1c small right lower lobe mass, right lower paratracheal adenopathy and several prominent nodes in the mediastinum and left supraclavicular area (Fig. 3).
case_images: a H&E stain showing a non-small cell carcinoma. b Dual stains showing a positive cytokeratin 7 stain. c Dual stain showing positive TFF-1 staining.
case_images: cro-0013-0436-g04.jpg
case_images: PMC7204840_01_cro-0013-0436-g04.jpg
case_images: F4
case_images: The patient was then referred to the respiratory team and ultrasound-guided biopsy of the enlarged left supraventricular lymph nodes was arranged, which confirmed a non-small cell carcinoma (Fig. 4).