PMC4898172_01
84-year-old male with bladder cancer. PA chest radiograph at admission shows a lytic lesion in the right acromion.
gr1.jpg
PMC4898172_01_gr1.jpg
fig1
A chest radiograph (Fig. 1) was initially interpreted as showing signs of COPD but no further pathology, so he was treated symptomatically.
84-year-old male with bladder cancer. AP radiograph of the right shoulder shows a lytic lesion in the acromion.
gr2.jpg
PMC4898172_01_gr2.jpg
fig2
An X-ray of the right shoulder (Fig. 2) showed a lytic lesion within the right acromion.
84-year-old male with bladder cancer. Axial CT, B70, shows a lytic lesion of the acromion with periosteal destruction.
gr3.jpg
PMC4898172_01_gr3.jpg
fig3
CT confirmed the lytic lesion within the acromion (Fig. 3) and revealed further lytic lesions in the neck and corpus of the scapula, and the third rib on the left side; it also detected several pulmonary nodules as well as two subcutaneous nodes in the upper back.