PMC5404167_01
Plain radiograph of right humerus showing an expansile lytic lesion, (a) Magnetic resonance imaging showing a large destructive lesion with cortical breach and soft tissue extension, (b) Computerized tomographic scan of humerus and chest showing aggressiveness of tumor and cannonball metastasis (c).
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Plain radiographs of right humerus showed an expansile lytic lesion causing complete destruction of the head, neck, and proximal half of right humerus (Fig. 3a). T2 and iso to hyperintense on T1 image. There was a breach in the cortex circumferentially with infiltration into muscles of proximal arm (Fig. 3b). Contrast enhanced computerized tomographic scan of chest showed multiple cannon ball type of metastasis (Fig. 3c).
Excised tumor with barium sulfate loaded custom made acrylic prosthesis (a), Implanted acrylic prosthesis after tumor resection (b), Plain radiograph showing prosthesis in situ (c).
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