64 Y/o Male Recreational Tennis Player With Shoulder And Chest Pain, Fever, And Weakness - Page #3
 

Lab Studies:
WBC 21,000 with 96% PMNs and 30% Bands, Creatinine 1.6, Lactate 1.2. CBC and CMP otherwise within normal limits.

Other Studies:
Shoulder Series X-Rays – Osteoarthtitis for glenohumeral and acromioclavicular joints without fracture or dislocation

Chest X-ray – No acute cardiopulmonary process. No subcutaneous air.

CT Neck
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

Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.


NOTE: For more information, please contact the AMSSM, 11639 Earnshaw, Overland Park, KS 66210, (913) 327-1415.
 

© The American Medical Society for Sports Medicine
4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415


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