Puzzling Periscapular Pain

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Puzzling Periscapular Pain - Page #3

Lab Studies: Normal vitamin D and calcium levels Other Studies: Radiographs including left rib series show an incidental right cervical rib without fracture <a href="CaseStudyImages/CS3PuzzlingPeriscapu-689.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a> . <br>MRI thoracic spine demonstrates a nondisplaced fracture of the left 3rd rib immediately behind the left transverse process <a href="CaseStudyImages/CS4CS3PuzzlingPerisc-689.jpg" title="Case Photo #4" data-lity><b>Case Photo #4</b></a> . <br>Follow up CT shows some bony bridging in the superior aspect of the rib, consistent with a partial nonunion <a href="CaseStudyImages/CS5CS4CS3PuzzlingPer-689.jpg" title="Case Photo #5" data-lity><b>Case Photo #5</b></a> . <br>The bone scan at 12 months showed faint radiotracer uptake over the area of the healing fracture suggesting near complete healing <a href="CaseStudyImages/CS6CS5CS4CS3Puzzling-689.jpg" title="Case Photo #6" data-lity><b>Case Photo #6</b></a> . <br>Follow up CT at 18 months showed significant interval healing with a minimally apparent fracture plane <a href="CaseStudyImages/CS7CS6CS5CS4CS3Puzzl-689.jpg" title="Case Photo #7" data-lity><b>Case Photo #7</b></a> . Consultations: none Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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