Rib metastasis

Case contributed by Dr Ana Brusic

Presentation

Cough

Patient Data

Age: 80 years
Gender: Male
X-ray

Peripherally located left lower zone ovoid opacity overlying the left anterior sixth rib with associated rib destruction.  

CT

Confirms the presence of a destructive soft tissue mass eroding the left anterior 6th rib. 

(Pathologic fracture involving the superior T6 endplate and probable subtle pathologic fracture involving the inferior T8 end plate also present). 

Case Discussion

This patient went on to have further imaging which showed several osseous and hepatic metastases, with no primary identified. Biopsy of a liver lesion showed sarcomatoid carcinoma. 

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Case information

rID: 60552
Published: 25th May 2018
Last edited: 14th Aug 2019
System: Chest
Inclusion in quiz mode: Included
Institution: Austin Health

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