Lurking In The Acoustic Shadows: Uncovering An Uncommon Diagnosis With Ultrasound

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Lurking In The Acoustic Shadows: Uncovering An Uncommon Diagnosis With Ultrasound - Page #3

Lab Studies: None Other Studies: Ultrasound-guided glenohumeral joint injection was planned for suspected adhesive capsulitis. During the pre-injection scan, the sonographer noticed abnormalities of the humeral head including cystic changes, cortical bone thinning, and posterior acoustic enhancement Case Photo #1 . Injection was aborted. Shoulder radiographs were repeated and showed a lytic lesion in the humeral head Case Photo #2 . Urgent magnetic resonance imaging revealed a soft tissue mass in the posterior humeral head with extension into the glenohumeral joint and subacromial subdeltoid bursa Case Photo #3 . Consultations: The patient was referred to interventional radiology for biopsy of the humeral head mass. Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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