Radiology ReviewAugust, 2009
The radiograph demonstrates multiple findings. First, there is a comminuted fracture of the humeral neck, associated with an underlying destructive lytic lesion with cortical destruction and irregularity. Suture anchors from previous surgery are noted, as well as an abnormal lucency within the diaphysis, which extends almost one-third of the way distally. Also note the damaged appearance of the glenoid and the scapula.
All of these findings are strongly suggestive of metastatic disease. In addition, part of the distal clavicle has been resected, and there is evidence of a previously performed kyphoplasty.
It was later determined that the patient had end-stage multiple myeloma, which is consistent with these findings.