A 52-year-old woman, former smoker with no relevant medical history, presented with 2 months symptom of right hip pain that limited her walking. This was associated with dyspnoea Medical Research Council modified 2 and occasional dry cough. Physical examination revealed normal cardiopulmonary examination, and tenderness in the right proximal femur. Chest X-ray demonstrated a right lower lobe nodule. Chest CT scan showed scattered pulmonary nodules bilaterally, smaller than 20 mm, enlarged mediastinal lymph nodes and …
