Puzzling Periscapular Pain

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Puzzling Periscapular Pain - Page #3

Lab Studies: Normal vitamin D and calcium levels Other Studies: Radiographs including left rib series show an incidental right cervical rib without fracture Case Photo #3 . MRI thoracic spine demonstrates a nondisplaced fracture of the left 3rd rib immediately behind the left transverse process Case Photo #4 . Follow up CT shows some bony bridging in the superior aspect of the rib, consistent with a partial nonunion Case Photo #5 . The bone scan at 12 months showed faint radiotracer uptake over the area of the healing fracture suggesting near complete healing Case Photo #6 . Follow up CT at 18 months showed significant interval healing with a minimally apparent fracture plane Case Photo #7 . Consultations: none Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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