Presentation
35 year old male presenting with pain in anterior chest wall for 2 months. Treated as costochondritis which failed to cure symptoms. Later on, localized pain in the midline chest wall.
Patient Data
Lateral x-ray of the sternum shows no bony abnormality noted.
Ultrasound shows cortical erosion present in the lower body with abnormal soft tissue showing high vascularity.
Case Discussion
MRI was done the next day, which showed similar findings with retrosternal collection 8 mm in thickness.
FNA - failed to get adequate material for pathology reporting.
Open biopsy was then performed.
Histopathology - Tuberculous osteomyelitis.