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Slice 6 of 1
Can you make the diagnosis?
Review the images, then reveal
XRMusculoskeletalConfirmedFRCR 2B
Winking owl sign
Clinical Presentation
Breast lump and back pain. No history of malignancy at the time of presentation.
- 1The left L1 pedicle is absent
- 2Compare it with the clearly seen right pedicle at the same level and the symmetry of the pedicles at the levels above and below
- 3Multiple bone metastases, including the pedicle metastasis responsible for the plain film appearances.Also liver and pulmonary metastases.