an easy case to celebrate the new year. PA radiograph of a 36-year-old woman with chest pain.
What do you see?
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Findings: PA chest radiograph shows a fracture of the right clavicle (A, arrow). A magnified view of the area raises the possibility of a lytic lesion (B, arrow).
Specific low-Kv images of the clavicle were taken, showing a rounded permeative lesion with a pathological fracture (C, arrow. D, circle). No other lesions were demonstrated in a bone scan. Biopsy followed by surgery came back as chondrosarcoma.
Final diagnosis: chondrosarcoma of clavicle with pathological fracture
Congratulations to Archanareddyt, who discovered the pathological fracture
Teaching point: when evaluating bone lesions of the chest, take specific views. They allow a better interpretation of the pathologic changes
12 thoughts on “Cáceres’ Corner Case 218 – SOLVED”
Fracture of the right clavicle
Fracture right clavicle – minimally displaced. No obvious pulmonary complications.
fracture of right middle clavicle
Prominant pulmonary artery may suggest pulmonary embolism
Pain was located in the right clavicle. No clinical suspicion of pulmonary embolism. The mild prominence of the pulmonary segment may be due the slight scoliosis which may alter the mediastinal contour.
Good afternoon Professor
Happy New Year 2020
Chest PA view:
1. Old mildly displaced fracture of the right lateral third of clavicle with ongoing callus formation.
2. Prominent pulmonary bay.
3. Right heart border – not clearly visualized – Suggested lateral view to rule out Pectus excavatum.
Old fracture on the lateral 1/3 right clavicle
Right heart border not clearly visualised- profile
Good morning Dr. Pepe,
Right middle clavicle fracture
Right lower lobe scimitar sign?
The apparent scimitar is a right lower lobe artery, in my opinion.
Fracture rt clavicle
Prominent rt lower lobe vessel, Scimitar
Did you all look at the clavicle closely?
Happy New Year 2020!
Pathological fracture of right clavicle with permeative lesion.
Fracture right clavicle.