Presentation
Severe left anterior chest pain for 4 weeks, now resolving. History of psoriasis.
Patient Data
Age: 55 years
Gender: Female
From the case:
SAPHO syndrome
PA & lateral
Ill-defined increased attenuation over the first left costochondral junction.
From the case:
SAPHO syndrome
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Axial lung window
Expanded anterior left first rib with peripheral calcification of the costal cartilage and sclerosis extending into the bone.
Areas of bone sclerosis around the xiphisternal and manubriosternal joints and in the anterior corners of T6 -T10 and L2 vertebral bodies.
Case Discussion
Normal sacroiliac joints on subsequent MR scan.
The Rheumatologist diagnosed SAPHO syndrome. The presentation, imaging appearances and sites of involvement are characteristic.