Predicting Pathologic Bone Lesions Using Scout Computed Tomography (CT) Imaging

Figure 2

Imaging of a patient with an unobserved pathologic lesion who went on to complete fracture. (a) Routine surveillance scout CT film demonstrating a pathologic lesion with an impending fracture in the right subtrochanteric femur that was not documented in the initial radiographic report. (b) An axial CT view in which the lesion identified by authors in the scout images is not well visualized and was not described in the formal radiographic report. These are of a 76-year-old patient with known metastatic renal cell carcinoma being managed on pazopanib chemotherapy per oncologic specialists.

(a)

(b)