Humeral head pseudolesion

Case contributed by Bruno Di Muzio
Diagnosis certain

Presentation

Fall onto shoulder.

Patient Data

Age: 30 years
Gender: Male
x-ray

No evidence of fracture or malalignment.

On the internal rotation projection, a pseudolesion with a thin sclerotic border and radiolucent center is seen in the humeral head; this disappears in the other two projections.

Case Discussion

This pseudolesion should not be mistaken for a lytic bone lesion.

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