Presentation
The non-traumatic onset of the left shoulder pain for the last few weeks.
Patient Data
The glenohumeral joint is normal. Ther are marginal osteophytes involving the acromioclavicular joint. There is no fracture/dislocation/bone lesion.
There is a soft tissue density in the left hilar region.
Case Discussion
A male presented with left shoulder pain. Left shoulder radiograph shows left hilar mass lesion for which CT scan was advised. CT scan revealed conglomerated mediastinal necrotic lymphadenopathy with miliary nodules in the lung favoring tuberculous etiology. CT-guided biopsy was done and histopathology diagnosis was poorly differentiated carcinoma.
CT report and CT-guided biopsy courtesy: Radiologist Dr. Shailesh Padmani
Histopathology report courtesy: Pathologist Dr. Kaushal Patel
A companion case: https://doi.org/10.53347/rID-37963 by Dr.Ian Bickle.