Fig. 18

Bony metastasis in a 67-year-old male with a history of adenocarcinoma of the lung, presenting with a 2-week history of swelling and pain over the medial aspect of the right hand dorsum. (a) Plain radiograph shows permeative destruction of the fifth metacarpal (arrow). (b) T1w sequence shows destruction of the fifth metacarpal with infiltrative soft tissue, predominantly of heterogeneous intermediate signal. (c) The lesion is heterogeneously hyperintense on T2w-FS sequence. (d) Heterogeneous enhancement is seen extending to the adjacent soft tissues