Answers :
What does the radiograph show ?
There is a fracture of the radius. The edges of the fracture are illdefined and the bone density is abnormal. This is a pathological fracture.
What radiological test would you request next ?
Because this is not a simple fracture but pathological, an underlying cause such as malignancy or infection needs to be considered (the appearance of this fracture is typical of a fracture through a bony metastasis).
The simplest first test is a chest radiograph. This shows a mass in the right paratracheal region.
annotate chest radiograph
An ultrasound scan and CT scan reveal adrenal masses. A bone scan shows multiple bony metastases.
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