Translation Results Requested Through Conyac Made Public

Dr. Benjamin D. Medoff: May we review the imaging
studies?
Dr. Gerald F. Abbott: A view of the left shoulder
from a chest radiograph obtained on the day of
the patient’s first admission to this hospital shows
a sharply defined, radiolucent lytic lesion in the
left scapula (Fig. 1A). A CT image from the PET–
CT study, performed 6 weeks earlier, shows a
sharply defined lytic lesion with a “punched-out”
appearance (Fig. 1B). A PET study showed intense
18F-FDG uptake in the lesion (Fig. 1C). An unenhanced
axial CT scan of the distal shaft of the
right femur, performed at the time of the CTguided
biopsy, shows a similar sharply defined
lucent defect in the cortex of the femur (Fig. 1D). A chest radiograph obtained on the patient’s first admission to this hospital shows subtle, fine
reticulonodular opacities in both lungs that appear
to spare the costophrenic sulci (Fig. 2A). An
axial image from the chest CT performed on the
second admission (Fig. 2B) shows small, irregular
pulmonary nodules that measure 2 to 3 mm in
diameter. Several nodules appear to be cavitated,
with small central areas of low attenuation, and
some appear centrilobular in distribution. Small
cysts of various sizes are also seen in both lungs.
The small nodules and cysts predominantly involve
the upper and middle zones of the lungs
and appear to spare the lung bases and costophrenic
sulci.