Ortho Dx: Impending fracture

A 77-year-old man presents to your office with a one-month history of atraumatic left thigh pain. The patient has been followed by a local oncologist who diagnosed him with multiple myeloma two years ago. He has known metastatic lesions throughout his spine. Recent radiographs and magnetic resonance imaging (MRI) confirm the source of the patient’s thigh pain is ...