A 48 year old woman known to have breast carcinoma came with back pain and right shoulder pain since three months.
The frontal radiograph of the right shoulder shows multiple osteolytic lesions in the head of the humerus, the shaft and the scoopula - adjacent to the glenoid. The lateral radiograph of the dorsolumbar spine shows an osteolytic lesion in L1 , involving the body and pedicle.