Spiculated periosteal reaction

Case contributed by Evangeline Collins
Diagnosis almost certain

Presentation

Rectal tumor, left hilar malignancy, and right-side femoral skeletal metastasis – ?pathological fracture.

Patient Data

Age: 65 years
Gender: Male
x-ray

No pathologic fracture demonstrated.

Large metastatic lesion within the intertrochanteric region of the right femoral neck, with spiculated periosteal reaction.

Case Discussion

Spiculated periosteal reaction is indicative of an aggressive disease process.

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