A Hairy Case Of Recurrent Right Shoulder Pain

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A Hairy Case Of Recurrent Right Shoulder Pain - Page #3

Lab Studies: White blood cells 3.2, platelets 41, absolute neutrophil count 0.7. Other Studies: A 3-view radiograph of the right shoulder showed mild acromioclavicular joint osteoarthritis without evidence of fracture. An MRI of the right shoulder showed a 2-centimeter x 3-centimeter bone marrow signal abnormality in the anterior humeral head. There was acromioclavicular joint osteoarthritis with trace subacromial subdeltoid bursitis, a degenerative labral tear with a small glenohumeral effusion, and mild supraspinatus and infraspinatus tendinosis. MRI of right shoulder shown in axial view. Case Photo #1 Peripheral blood flow cytometry showed 2% kappa-restricted B-cells with typical features of classical type hairy cell leukemia. This was confirmed by bone marrow biopsy. Consultations: The patient was referred to an orthopedic oncologist. Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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