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Resolution
The x-ray reveals multiple osteoblastic lesions that are consistent with metastatic disease. This patient was referred for work- up, including a bone scan.
This case is an excellent reminder that pathology is not limited to trauma, regardless of the presenting complaint. A thorough survey is necessary to ensure a complete assessment and accurate diagnosis.
Acknowledgment: Case presented by Nahum Kovalski, BSc, MDCM, Terem Emergency Medical Centers, Jerusalem, Israel. what your diagnosis and next steps would be. Resolution of the case is described on the next page.
Clinical Challenge: March, 2011
Nahum Kovalski, BSc, MDCM
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