Fig. 13
From: Imaging of urgencies and emergencies in the lung cancer patient
Pathological femoral shaft fracture in a 63-year-old man with a stage IV bronchogenic carcinoma. a Axial chest CT image in mediastinal window setting shows a large tumour in the right upper lobe (yellow arrow). b Coronal FS T1-weighted MR image after gadolinium contrast administration depicts a mass in the proximal left femoral shaft with extra-osseous soft tissue component (yellow arrow) and significant surrounding soft-tissue oedema. The patient presented to the emergency department 1 week after the MRI with complaints of extreme pain (non-traumatic) in the left hip and immobility. c Supine X-ray of the left femur reveals a pathological fracture with angulation at the level of the lytic bone metastasis (yellow arrow)