An 82-year-old man presented to the emergency department with a 6-month history of worsening back and left hip pain. The pain did not radiate down his legs, but it occasionally woke him from sleep, was worse after activity, and was not relieved by bending forward.
Presented at the Clinical Pathological Conference Series, Department of Medicine, Brigham and Women’s Hospital, and Harvard Medical School — both in Boston.
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No potential conflict of interest relevant to this article was reported.
We thank Dr. Danny Milner for assistance with the pathological analysis and images.
Source Information
From the Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School, Boston.
Address reprint requests to Dr. Levy at Brigham and Women’s Hospital, Harvard Institutes of Medicine Building, 77 Ave. Louis Pasteur (HIM855), Boston, MA 02115, or at [email protected].