Patient presents with concerns regarding a lytic lesion.  Chief complaint includes [Insert chief complaint, e.g., bone pain, localized swelling, pathological fracture, incidental finding on imaging].  Review of systems reveals [Insert pertinent positives and negatives related to lytic lesions, e.g., fatigue, weight loss, fever, history of malignancy, location and character of pain].  Physical examination findings include [Insert relevant physical exam findings, e.g., tenderness to palpation, palpable mass, limited range of motion, neurological deficits].  Imaging studies, including [Specify imaging modality, e.g., X-ray, CT scan, MRI, PET scan] of the [Specify anatomical location, e.g., spine, femur, skull], demonstrate a lytic lesion characterized by [Describe radiographic characteristics, e.g., well-defined margins, sclerotic rim, size, location within the bone].  Differential diagnosis includes [List potential diagnoses, e.g., metastatic bone disease, multiple myeloma, benign bone cyst, giant cell tumor, infection].  Laboratory studies ordered include [Specify labs, e.g., complete blood count, comprehensive metabolic panel, serum calcium, serum phosphorus, alkaline phosphatase, prostate-specific antigen, lactate dehydrogenase].  Biopsy is [State whether biopsy is planned, performed, or deferred, and if performed, the method and location].  Plan includes [Outline plan of care, e.g., referral to orthopedics, oncology, or other specialist; pain management; further imaging; follow-up].  Assessment: Lytic lesion of the [Anatomical location] with differential diagnosis including [List top differential diagnoses].  Patient education provided regarding the significance of lytic lesions, diagnostic procedures, and potential treatment options.  Follow-up scheduled for [Date] to review biopsy results, discuss treatment plan, and monitor for disease progression.