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Case of the Week 638


What is the most likely diagnosis?

  • 29 year-old male weight-lifter with shoulder pain



Right Shoulder-Neutral

1. Posterior shoulder dislocation
2. Fractured 1st rib
3. Rheumatoid arthritis
4. Clavicular osteolysis
5. Hyperparathyroidism


Additional Image - Right Shoulder-Axillary View

 

Additional Images

 

Right Shoulder-Axillary View


Answer:

4. Clavicular osteolysis

More (Click Discussion Tab)

 

 

Scleroderma

General Considerations

  • Multisystem collagen vascular connective tissue disease mediated by a vasculitis
  • Unknown etiology
  • Most common form 30-50
  • Female to male ratio of 3:1
  • Pulmonary manifestations in 10-25% of patients with scleroderma, but…
  • Lungs are involved in almost 100% of cases at autopsy

MORE . . .


.

This Week

29 year-old male weight-lifter with shoulder pain
 
 



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LearningRadiology.com
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.