Dog Gone Painful: An Unusual Case Of Acute Shoulder And Chest Pain

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Dog Gone Painful: An Unusual Case Of Acute Shoulder And Chest Pain - Page #3

Lab Studies: CBC - Normal CRP - 3.2 ESR - 26 Other Studies: MR arthrogram of the left shoulder revealed a full-thickness tear of the anterior labrum and well as a partial thickness tear of the supraspinatus. MRI of the chest wall with and without contrast revealed a 2.4 cm enhancing lesion in the left manubrium near the sternoclavicular joint concerning for a neoplastic process, as well as a pathologic fracture of the left manubrium. [photo 2, photo 3] Manubrium bone biopsy was consistent with a plasmacytoma. Consultations: Orthopaedic and Medical 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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