Breast cancer rib metastasis

Case contributed by Dr Ian Bickle

Presentation

Retired female with prior history of breast cancer. Left sided thoracic pain.

Patient Data

Age: 68
Gender: Female
X-ray

Left mastectomy.

Thickened sclerotic left 8th rib.

Lungs clear.   Heart size normal.

Case Discussion

The breast outlines are one of the review areas on a chest x-ray.   If a mastectomy is present implying a previous malignancy, be sure to interrogate the film closely.

Bone metastases are common - both lucent and sclerotic - in breast cancer.

Other potential findings on a chest x-ray indicating metastatic disease in breast cancer include:

- a pleural effusion

- lung metastases

- pleural metastases

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Case information

rID: 50381
Case created: 3rd Jan 2017
Last edited: 7th Jan 2017
Systems: Chest, Breast
Tag: rdgh
Inclusion in quiz mode: Included

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