Help please, Pelvic CT/PET/MRI, Tumor

Hi,

50 F patient presents with pelvic pain since 2019. No primary malignancy or
other lesions elsewhere.

I am puzzled by the tubular sclerotic lesion of right inferior pubic ramus
with subtle erosive changes of anterior cortex on CT. Not sure if it’s
related to the pelvic mass as a periarticular manifestation of
melorheostosis vs Paget although this is a middle age female.

Malignancy is in the differential, and I am going to suggest biopsy for a
more definitive diagnosis.

Please advise.

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