{"pk":896,"title":"A Case of a Missing Proximal Humerus","subtitle":null,"abstract":"Case Presentation:\n In this case, we demonstrate how a small radiolucency in the proximal humerus can progress to an even larger problem within a few months in a patient without follow-up. Our patient’s ultimate diagnosis was renal cell carcinoma with metastasis to the right proximal humerus, completely obliterating the affected bone.\nDiscussion:\n In many underserved communities, patients have limited access to medical care, particularly specialty care. These patients often present to the emergency department and are unable to acquire appropriate follow-up. This situation illustrates the social issues that our patients face every day affecting their access to healthcare and ultimately necessary medical treatment.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"proximal humerus"},{"word":"metastatic bone lesions"},{"word":"renal cell carcinoma"}],"section":"Images in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8bk47541","frozenauthors":[{"first_name":"Jessica","middle_name":"Lynn","last_name":"Williams","name_suffix":"","institution":"Saint Joseph’s University Medical Center, Emergency Department, Paterson, New Jersey","department":"None"},{"first_name":"Steven","middle_name":"M.","last_name":"Hochman","name_suffix":"","institution":"Saint Joseph’s University Medical Center, Emergency Department, Paterson, New Jersey","department":"None"}],"date_submitted":"2020-07-30T22:01:34+02:00","date_accepted":"2020-07-30T22:01:34+02:00","date_published":"2020-07-31T00:58:35+02:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/896/galley/644/download/"}]}