Examining an X-Ray should also include examining the thorac wall.
For instance, see the rib lysis (here the 5th right rib on this X-Ray picture borrowed to Rennes Univesity, the 4th rib on the nearby diagram), potentially associated to the disparition of a vertebral pedicle or a vertebral crushing as on T7 (on the diagram).
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| Chart of the nearby x-ray |
X-Ray borrowed from University
Rennes 1 |
Other metastatic sites are the scapula, the clavicle or the vertebrae.