,HISTORY OF PRESENT ILLNESS:  ,This is a 78-year-old male who has prostate cancer with metastatic disease to his bladder and in several locations throughout the skeletal system including the spine and shoulder. 
,HISTORY OF PRESENT ILLNESS : , This is a 78 - year - old male who has prostate cancer with metastatic disease to his bladder and in several locations throughout the skeletal system including the spine and shoulder .