70 years old male  presented in Emergency with 3 weeks history of constant back pain associated with weight loss. The pain was notably worse at night and aggravated by movement, progressively worsening since the previous night. On examination, mid-spinal tenderness was noted on palpation, and there was a 3/5 power loss that developed over last 2 hours. PSA was >100 ng/dl hence it was diagnosed as de novo Metastatic Prostate cancer.​ IMAGING: ​ MRI whole spine was requested as

"A 53-year-old male presented in the Radiation Oncology clinic with a complaint of hoarseness of voice for 6 months. On flexible fiber optic laryngoscopy (FODL), a lesion was identified on the left vocal cord. A biopsy sample was taken, which was consistent with squamous cell carcinoma. A CT scan revealed a lesion in the left vocal cord with bilateral cervical lymph nodes. On examination, the patient was grossly unremarkable, with no palpable cervical lymph nodes. PET CT scan

CLINICAL HISTORY A 65-year-old lady presented to the Radiation Oncology clinic with biopsy-proven squamous cell carcinoma of the uterine cervix FIGO IIB. The systemic examination did not reveal any clinically significant lymphadenopathy. Imaging indicated metastatic disease. Since the FDG avid nodes on the PET CT scan did not follow the anatomical pattern of spread typical for cervical cancer (i.e., no para-aortic nodal enlargement), and some of the PET avid mediastinal nodes