Scapular and clavicular multiple myeloma
Increasing left shoulder pain.
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Multiple well-defined and expansile lucent lesions in the spine and acromion of the scapula. Less expansile lesions also noted in the clavicle, as well as the proximal humeral shaft.
There is no associated pathological fracture appreciated. Acromioclavicular and glenohumeral joint alignment is satisfactory.
Multiple small lucencies noted in the ribs
The patient had a long history of multiple myeloma and was currently off treatment.