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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