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A 55-year-old military officer presents with greater than one year of generalized foot pain. On a recent physical examination, he was found to have an elevated prostate specific antigen (PSA), but is otherwise healthy. Radiograph, CT scan, bone scan, and histology slide are shown in Figures A through D. What is the most likely diagnosis?
Metastatic prostate cancer
Spindle cell sarcoma of bone
Healing stress fracture of the second metatarsal
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HPI - Recent history of playing football since 2 weeks with no direct injury or twist.
What is the most appropriate net step investigation?