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Review Question - QID 5457

Metastatic Disease of Extremity Evaluation Workup for older patients with single bone lesion and unknown primary includes QID: 5457 (OBQ14.47)
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QID 5457 (Type "5457" in App Search)
A 65-year-old woman complains of thigh pain 3 years after total hip arthroplasty with a metal on metal bearing surface. She has a remote history of adenocarcinoma treated with bowel resection 10 years ago. Radiographs are shown in Figures A and B. A bone scan, chest radiograph and CT of the chest, abdomen and pelvis, and laboratory investigations were all negative for other lesions. What is the next best step?
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