Case of the Month: April, 2012

Submitted by Emmanuil Smorodinsky, MD, and Marcel Maya, MD.

History: 87 year old female with history of ESRD and breast cancer presents to the emergency department following involvement in a motor vehicle accident that lead to a brief loss of consciousness. As part of the trauma work up, the following CT scan of the spine is obtained. 

(Click here for larger image.)

What is the most likely diagnosis?

  1. Lymphoma
  2. Metastatic breast cancer
  3. Paget disease
  4. Renal osteodystrophy
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