Figure 1.

A case presentation of a lady with invasive ductal carcinoma of the breast who was treated definitively with lumpectomy, adjuvant chemotherapy, and adjuvant radiotherapy. Shortly after completion of therapy, on re-staging investigations, she was found to have oligometastatic disease in the bones, specifically at C4, T3, T10, the left sacral ala, and right scapula. She received SBRT to each site and was started on hormonal therapy. At most recent follow-up 20 months later, she has not had progression of known disease nor interval development on new metastatic disease. (a) Posterior-anterior projection of pre-treatment bone scan demonstrating increased uptake within the right scapula, T3 and the right sacral ala. Subsequent images of axial slice of T2-weighted MRI demonstrating near complete marrow replacement of C4 (b), focal marrow abnormality in posterior T3 body (c), rounded focus centrally of the T10 vertebral body (d), and 13 mm lesion of left sacral ala (e).