Presentation
Right shoulder pain
Patient Data
Age: 50 years
From the case:
Apical lung cancer on shoulder x-ray
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Partially delineated 2cm nodule in the 1st/2nd rib space, inferior to the calcified 1st costochondral junction.
No rib erosion.
Degenerative AC joint.
From the case:
Apical lung cancer on shoulder x-ray
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Persistent nodule-like opacity in the right 1st/2nd rib space.
Left basal atelectasis.
Minor right hemidiaphragm elevation.
Case Discussion
CT was undertaken, and a right apical lung malignancy was identified.
The lung apex on the shoulder radiograph is key review area - this is a fellowship classic case.
The examiner is thinking:
Is the potential new consultant colleague competent?
Do they take care of reporting?
Do they have a system to limit missing pathology?
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