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This 60-year-old right handed woman has had gradual onset of pain in the right elbow. X-rays show a destructive bone lesion in the distal humerus. Further radiographic evaluation has shown that there is a 6.9 cm mass in the lower pole of the left kidney. It has a heterogeneous appearance consistent with renal cell carcinoma. The bone scan shows multiple areas of abnormality, including two lesions in the skull.
The patient is a 44-year-old machinist who has had pain in the right hip for approximately one year. It is exacerbated by standing, walking and heavy activity, and somewhat relieved by rest.
The patient is 53 and at around age 30, he developed a mass in his left neck. Since then he has had development of innumerable masses in the left arm, the left chest wall, and the left shoulder.
This healthy and active 56 year old woman has a painless lesion in the distal tibia. The lesion was discovered on an MRI that was performed for unrelated foot pain. The lesion is totally invisible on the xray, but easily seen on the MRI.
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