| Radiograph of the wrist showed a circular punched-out lytic lesion involving scaphoid, capitate, and trapezoid bones. |
| The staples that hold them in place also line their edges, serving as glinting ornament, while the rows of punched-out holes have a bead-like quality. |
| A diagnostic workup with endoscopy found punched-out lesions in the stomach. |
| Radiographically, bone lesions appear as sharp, punched-out radiolucencies. |
