The patien is a 70-year-old gentleman who presented to Dr. McInerney's office because of a sudden onset of pain in his right hip. He was seen in the outpatient setting. MRI was performed which identified a lesion in the right femoral neck. The patient was instructed to be nonweightbearing of the right lower extremity. He was sent to the ED for evaluation and admission. The question was was it a fracture or another lesion. Also was noted that his creatinine was 2.770. He is unable to receive IV contrast. He denied any past medical history. The lesion on the right hip proved to be a lytic lesion in the right femur Jason sclerotic focus. The labs revealed him to be anemic, hypercalcemic, elevated total protein and acute kidney injury.