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