A CT scan reveals a 5 cm mass in the left retroperitoneum adjacent to the kidney and displacing the kidney. An x-ray reveals a recent compressed fracture of T12 along with multiple older compressed fractures of the vertebrae. Her skin is thin with areas of purpura. Her serum cortisol is normal. She has felt terrible and depressed for several months.
Physical examination reveals no major findings.
A chest x-ray is normal. She was disoriented, didn't know her name, was extremely weak, and had an irregular heart rate. A chest x-ray revealed clear lungs but there were osteolytic lesions of ribs and vertebrae. MENU Question 58 A 61 year old male has a 90 pack year smoking history. He has lost 15 kg in the past 4 months, though his abdomen seems more prominent with striae over the abdominal skin.