XR Vision: Lumps and Bumps

55 y/o M w/ ESRD p/w chest pain. As you’re finished evaluating him and leaving, he says, “Oh doc, 1 more thing. Can you take a look at these lumps on my thighs? It’s been growing for a few months and bothering me.” You take a quick peek and notice large masses on the medial aspect of groin bilaterally. There is no erythema, fluctulance, or tenderness on palpation. He has FROM of hips bilaterally. You get an XR and see this:

xray 8-2015


What is your diagnosis and management?

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EM/IM Resident at Kings County/SUNY Downstate

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