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ERNST A. MAY, M.D., F.A.C.R., F.I.C.S. 157 SOUTH HARRISON STREET EAST ORANGE, NEW JERSEY January 4, 1945. R.E. Humphries, M.D. 637 Central Avenue, JAN 9 6 East Orange, N. J. Re: Mrs. Albina Larice Films # 7936 Dear Dr. Humphries: X-rays were taken of the lumbar spine and pelvis with the portable x-ray unit in the patient's home. The films include the upper third of both femurs. All bone structures show a pronoune- ed calcium deficiency. The left hip joint 1s completely destroyed. The destruction also involves the head and neck of the left femur. There is an irregular area of calcification which protudes in a medial directionfrom the hip joint. It is evidently an extension of the destrctive mass that involves the hip joint. Similar, but smaller, areas of destruction are seen involving the entire iliac bone. The right hip shows a similar area of destruction which, however, is not as extensive as the area in the left hip joint. It has involved the head and neck of the femur as well as the acetabulum of the hip joint. Diagnosis: Malignant destruction of both hip joints, probably osteogenic sarcoma. No definite evidence of malignant involvement of the lumbar spine. Very truly yours, Ernst A. May, M. D. EAM:d

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    "ocrText": "ERNST A. MAY, M.D., F.A.C.R., F.I.C.S.\n157 SOUTH HARRISON STREET\nEAST ORANGE, NEW JERSEY\nJanuary 4, 1945.\nR.E. Humphries, M.D.\n637 Central Avenue,\nJAN 9\n6\nEast Orange, N. J.\nRe: Mrs. Albina Larice\nFilms # 7936\nDear Dr. Humphries:\nX-rays were taken of the lumbar\nspine and pelvis with the portable x-ray unit in the\npatient's home. The films include the upper third\nof both femurs.\nAll bone structures show a pronoune-\ned calcium deficiency. The left hip joint 1s\ncompletely destroyed. The destruction also involves\nthe head and neck of the left femur. There is an\nirregular area of calcification which protudes in a\nmedial directionfrom the hip joint. It is evidently\nan extension of the destrctive mass that involves\nthe hip joint.\nSimilar, but smaller, areas of\ndestruction are seen involving the entire iliac bone.\nThe right hip shows a similar area\nof destruction which, however, is not as extensive as\nthe area in the left hip joint. It has involved the\nhead and neck of the femur as well as the acetabulum\nof the hip joint.\nDiagnosis:\nMalignant destruction of both hip\njoints, probably osteogenic sarcoma. No definite\nevidence of malignant involvement of the lumbar spine.\nVery truly yours,\nErnst A. May, M. D.\nEAM:d"
}