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Bone scan shows the patient developed multiple loci of metastasis in the lumbar vertebra, sacral vertebra and left pubis (A). The metastatic lesions response well to ADT (B). MR images show a soft tissue mass in the pelvis [(C), blue arrow], and the lesions partially regress after three cycles of chemotherapy [(D), blue arrow]. A brain MRI scan reveals multiple metastases [(E, F), blue arrow].
