WBC 21,000 with 96% PMNs and 30% Bands, Creatinine 1.6, Lactate 1.2. CBC and CMP otherwise within normal limits.
Shoulder Series X-Rays – Osteoarthtitis for glenohumeral and acromioclavicular joints without fracture or dislocation
Chest X-ray – No acute cardiopulmonary process. No subcutaneous air.
Large inflammatory change centered at the right sternoclavicular joint likely representing septic arthritis with adjacent phlegmon. Case Photo #1
CT Neck & Chest with Contrast
Right sternoclavicular (SC) septic arthritis with several fluid collections, most prominent posterior to the right SC joint, the largest measuring 2.3 x 2.1 cm. The right subclavian vein is compressed at the first rib but is patent. Case Photo #2, Case Photo #3, Case Photo #4, Case Photo #5
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