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Review Question - QID 210996

Metastasis Metastasis to bone Metastasis to bone may be bone forming (blastic) or bone destructive (lytic) QID: 210996 (M1.OMB.18.4723)
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QID 210996 (Type "210996" in App Search)
A 56-year-old man presents to the clinic complaining of subacute back pain for the past month. The pain is described as a dull, constant ache that is worse at night. He could not recall any precipitating event except for an amateur weight-lifting competition that he participated in 2 months ago. Past medical history is significant for non-small cell lung cancer that was diagnosed and successfully treated. A PET scan 1 year ago demonstrated no recurrence. Physical exam was unremarkable except for some point tenderness along the lumbosacral area. What is the most likely imaging finding in this patient?
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