Metastases to scapula
Presentation:
A 45 year old male patient was referred to us for evaluation of left long standing shoulder pain with a vague history of trauma.
Patient Data:
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Xray of left scapula was done which showed sclerosis of spine of scapula with patchy sclerosis involving inferior glenoid labrum. Since findings were non specific and complaints were of long standing, screening CT of the left shoulder was done for better evaluation.
Xray showed diffuse homogenous consolidation in right lower zone with blunting of right costophrenic angle.
CT of left shoulder showed ill-defined lytic lesion involving the medial end of clavicle and acromion. Another ill-defined lytic lesion was seen diffusely involving the upper border and spine of scapula with cortical breach and soft tissue extension with areas of mineralization. Axillary lymphadenopathy is also noted. Left lung field was normal
CT of right shoulder showed normal humerus, scapula and clavicle. Right middle lobe showed an ill-defined lobulated mass in the hilar region with spiculation and pleural effusion.
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