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. 2024 Mar 11;14:5867. doi: 10.1038/s41598-024-56645-7

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© The Author(s) 2024

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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A female aged 51 years, left proximal femur metastasis from unknown origin. (A) Anteroposterior and lateral radiographs of a left femur showing a pathological diaphyseal fracture due to metastatic tumor. (B) 3D reconstruction by CT showing a pathological diaphyseal fracture, and fracture end was irregular. (C) Fat-suppressed T2-weighted (T2W) images showing a pathological diaphyseal fracture which had intramedullary hematoma with fat necrosis and peripheral hematoma. (D) Anteroposterior and lateral radiographs showing that modular intercalary prosthetic reconstruction after tumour resection.