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    This module is included inLens: Rice University Press Titles
    By: Rice University PressAs a part of collection:"Images of Memorable Cases: 50 Years at the Bedside"

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Images of Memorable Cases: Case 74

Module by: Herbert L. Fred, MD, Hendrik A. van Dijk. E-mail the authors

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Case_74-pres1-1.jpg

Routine chest radiograph of an asymptomatic 50- year-old man. The same study five years earlier had shown no abnormality.

The radiograph shows a solitary “white” fourth rib on the left side. Such a finding in a middle-aged or older man should always suggest osteoblastic metastasis, particularly from carcinoma of the prostate. In this patient, biopsies of the prostate and affected rib disclosed adenocarcinoma.

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