Previous prostate cancer patient with impending rib fracture Reviewed by Kyle A. Richards, MD Author and Disclosure Information [Show] Kyle A. Richards, MD, Assistant Professor, Department of Urology, University of Wisconsin-Madison; Chief of Urology, William S. Middleton Memorial VA Hospital, Madison, Wisconsin.Kyle A. Richards, MD, has disclosed no relevant financial relationships. Question 1 of 3 A 59-year-old man with no underlying conditions was diagnosed with prostate cancer during screening. Tumor staging was T3, and Gleason score was 8. Several months later, the patient underwent successful radiation with a course of hormone therapy. A year later, the patient presents with an impending rib fracture. He reports recent weight loss, and physical exam reveals adenopathy. There is no evidence of urologic symptoms.What is the likely diagnosis? Choose one Paget disease Bone metastases Osteoporotic fracture Lymphoma This quiz is not accredited for CME.