PMC7204840_01
X-ray of the pelvis and lateral view of the hip showing avulsion fracture of the lesser trochanter.
cro-0013-0436-g01.jpg
PMC7204840_01_cro-0013-0436-g01.jpg
F1
X-rays were taken of the pelvis, which demonstrated an avulsion fracture of the right lesser trochanter (Fig. 1).
Coronal MRI STIR images of the pelvis showing infiltrative marrow metastasis.
cro-0013-0436-g02.jpg
PMC7204840_01_cro-0013-0436-g02.jpg
F2
MRI demonstrated an irregular low T1 marrow signal in the right femur at the avulsion site in keeping with an infiltrative marrow metastasis (Fig. 2).
CT scan of the chest showing a small tumour mass in the right lower lobe.
cro-0013-0436-g03.jpg
PMC7204840_01_cro-0013-0436-g03.jpg
F3
CT scan of the chest demonstrated a T1c small right lower lobe mass, right lower paratracheal adenopathy and several prominent nodes in the mediastinum and left supraclavicular area (Fig. 3).
a H&E stain showing a non-small cell carcinoma. b Dual stains showing a positive cytokeratin 7 stain. c Dual stain showing positive TFF-1 staining.
cro-0013-0436-g04.jpg
PMC7204840_01_cro-0013-0436-g04.jpg
F4
The patient was then referred to the respiratory team and ultrasound-guided biopsy of the enlarged left supraventricular lymph nodes was arranged, which confirmed a non-small cell carcinoma (Fig. 4).