case_images: PMC11446967_01
case_images: PMC11446967_02
case_images: PET scan showing widespread metastatic disease.
case_images: fresc-05-1384782-g001.jpg
case_images: PMC11446967_02_fresc-05-1384782-g001.jpg
case_images: F1
case_images: Magnetic resonance imaging (MRI) showed new osseous metastases in the left shoulder, and a positron emission tomography (PET) scan identified metastases in the right mandible, multiple thoracic spine vertebrae, pelvis, right clavicle, right scapula, bilateral ribs, sternum, bilateral humeri, and the left femur, notably in the intertrochanteric region (Figure 1).
case_images: (A) Plain film x-ray of the left hip and (B) T1-weighted MRI of the left hip showing a large left hip lesion.
case_images: fresc-05-1384782-g002.jpg
case_images: PMC11446967_02_fresc-05-1384782-g002.jpg
case_images: F2
case_images: Following this interdisciplinary communication, imaging of the left hip was ordered, and the initial X-ray appeared unremarkable (Figure 2A). However, a follow-up MRI showed extensive osseous metastatic disease with deep soft tissue edema surrounding the proximal left femoral intertrochanteric region (Figure 2B).
case_images: AM-PAC 6-Clicks scores by visit number. Prophylactic hip fixation surgery is indicated by a vertical line.
case_images: fresc-05-1384782-g003.jpg
case_images: PMC11446967_02_fresc-05-1384782-g003.jpg
case_images: F3
case_images: Figure 3 depicts the AM-PAC 6-Clicks scores by visit number, with significant events noted.