Is It Just Hip Pain?

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Is It Just Hip Pain? - Page #3

Other Studies: Radiographs of the hip from his PCP's office reviewed and confirmed to be normal. The X-ray extended to 8 cm inferior to the lesser trochanter. In our office 3 days later we obtained radiographs of the hip with extended view which demonstrated a small area of intracortical lucency and pericortical irregularity located about 6 cm distal to the lesser trochanter, only visible on the AP view. <a href="CaseStudyImages/CS1IsItJustHipPain-158.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> <br>MRI right thigh was obtained to evaluate abnormal osseous area and for any concurrent soft tissue injury. The MRI showed a focal lesion in the proximal diaphysis of the femur involving the medial cortex with abnormality in the adjacent soft tissue with a small soft tissue mass and edema. Findings were compatible with a possible osseous neoplasm and were reported as highly concerning for a malignant lesion. <a href="CaseStudyImages/CS2CS1IsItJustHipPai-158.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> <a href="CaseStudyImages/CS3CS2CS1IsItJustHip-158.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a> <a href="CaseStudyImages/CS4CS3CS2CS1IsItJust-158.jpg" title="Case Photo #4" data-lity><b>Case Photo #4</b></a> Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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