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On a Friday afternoon, a worried mother brings her 4-year-old daughter to the urgent care. She says the girl is complaining that her “side hurts.” The mother can’t recall any recent falls or injuries.

Review the image of the anterior to posterior (AP) pelvis taken upon presentation and consider possible diagnoses and next steps you would recommend to the family.

XR 1 - Right-sided pelvic pain, Lytic lesion on medial iliac bone, mass
4-Year-Old With Right-Sided Pelvic Pain
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