Hospital For Special Surgery: Ultrasound of the Month - Case 32

Clinical History •

72-year-old female presents with gradual onset of right lateral hip pain

•

Normal radiographs

•

MRI ordered for further evaluation

Ultrasound of the Month – Case 32

1

Ultrasound of the Month – Case 32

2

Ultrasound of the Month – Case 32

3

• The patient reported a prior history of lung cancer

• Differential possibilities include a metastatic lesion or primary soft tissue neoplasm • Ultrasound-guided biopsy was requested for definitive diagnosis

Ultrasound of the Month – Case 32

4

Ultrasound of the Month – Case 32

5

Ultrasound of the Month – Case 32

6

Diagnosis: •

Moderately differentiated mucin-secreting adenocarcinoma, consistent with a pulmonary origin.

•

This matched the previous pathology of the patient’s primary lung tumor

Ultrasound of the Month – Case 32

7