Submitted by Emmanuil Smorodinsky, MD, and Marcel Maya, MD.
History: 87 year old female with history of ESRD and breast cancer presents to the emergency department following involvement in a motor vehicle accident that lead to a brief loss of consciousness. As part of the trauma work up, the following CT scan of the spine is obtained.
What is the most likely diagnosis?
- Metastatic breast cancer
- Paget disease
- Renal osteodystrophy
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