Help with a case.

Hi all,I am still receiving replies regarding this case, and some have asked to see the plain films too, which i now have access to.
I’ve received a range of views from benign to malignant without a consensus. Hoping that the xrays might encourage a few more views to break the deadlock.

Regards
Tony Peduto

Current film

Bad photo of film from 1999:

Dear OCADers

I’d like to ask for opinions on this case.

64M
Has no background medical conditions.
No previous malignancy.
Not on any medications.
Presented with an incidental focus of bone sclerosis at right iliac neck on film done for minor trauma of opposite side. Previous Xray in 1999 was normal.

Looks a lot like an hemangioma of bone, but what bothers me is that it was not present on the xray from 1999. The signal drop-out on out of phase imaging is reassuring.

Would appreciate your thoughts?
Other DDxs such as Lymphoma?
Observe?, Investigate further?, or Biopsy?

Please reply directly to me and I’ll feedback summary of replies.

Regards and thanks.

Tony Peduto

OCAD case.ppt

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