Presentation
Shortness of breath on exertion. No history of malignancy.
Patient Data
Age: 90 years
Gender: Female
From the case:
Paget disease of the clavicle
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Heart size upper limit of normal.
Right lower lobe bronchial wall thickening.
Enlarged sclerotic left clavicle.
From the case:
Paget disease of the clavicle


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Info

Markedly expanded left clavicle with sclerosis and coarse trabeculation without cortical breach.
Case Discussion
Appearances in keeping with Paget disease of the left clavicle.
An exam classic. Typical appearances of a disease in an atypical location.
Differential includes sclerotic metastasis. This patient has interval imaging over 3 years of these appearances being unchanged and no history of malignancy.