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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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.
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