Oh, dear Lord.
Ok, the existing (current) pathologic fracture is in her back left 8th rib, and maybe in her left iliac wing, which is the bone that “wings” out from your lower spine on the left and right. When you put your hands (fists) on your hips like the meme of the angry little kid, the bones you feel are the iliac wings.
She has a radiographic lesion (tumor) at the top of her right thigh bone, in front, just below where the thigh bone hooks into her pelvis, meaning the hip joint. That the one that they’re concerned may spontaneously fracture, and apparently the one they want to target with radiation therapy.
On a PET scan, the word “avid” essentially means a “hot” malignant tumor, one that is reproducing at high speed.
I’ll leave it there, unless you want further translation. But Joe, it’s a really bad report. The cancer is pretty much everywhere, and on both sides of her body - lungs, lymph nodes (including compression of her major blood vessels, and apparently starting to invade the left internal jugular vain), liver, bones. No mention of breast though.
Has the family talked to anyone from palliative care? Palliative care means that they will address issues that maybe can make her days more comfortable, which would include the radiation therapy. It’s not curative, but it can extend life, and definitely maximize her comfort levels. Hospice would come after that. No more attempts to fight disease, just comfort care.
Praying for you guys. 




 
Edit to add: if they’re trying chemo, that’s generally not palliative care, unless it’s meant to shrink some of the tumors that are causing problems. And that’s perfectly reasonable. But the family does need to know that if someone from palliative care wants to meet with them, that’s what it deals with.