Breast cancer rib metastasis

Case contributed by Ian Bickle

Presentation

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

Patient Data

Age: 70 years
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:

  • pleural effusion
  • lung metastases
  • pleural metastases

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.