A Curious Case Of Right Arm Pain

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A Curious Case Of Right Arm Pain - Page #3

Lab Studies: None Other Studies: Case Photo #1 Right shoulder XR. Showed mild lateral humeral metaphyseal sclerosis and widening. Case Photo #2 Right wrist XR. Normal. Case Photo #3 Right wrist MRI. Normal. Case Photo #4 R shoulder MRI. There was a questionable tiny labral tear. Case Photo #5 Example US for TOS evaluation. It showed decreased blood flow with abduction. Case Photo #6 CTA RUE in abduction. It demonstrated narrowing of the right subclavian artery with arm in abduction. Case Photo #7 CTA RUE. There was a small lobular pseudoaneurysm with thrombosis at the origin of the anterior and posterior circumflex humeral arteries. Case Photo #8 Fluoroscopic guided IR angiography. There was a bi-lobed wide neck pseudoaneurysm arising near the origin of the anterior and posterior circumflex humeral arteries. Chronic changes of thrombosis of the right radial and brachial arteries in the distal upper arm with collateral flow through the right AC fossa and forearm. There was also narrowing of the right mid subclavian artery with abduction. Case Photo #9 Coil and plug embolization of the right anterior and posterior circumflex humeral artery pseudoaneurysms. Consultations: Vascular Surgery Interventional Radiology Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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