Sternal tuberculosis
Presentation
Left sterno-calvicular region pain - 1 mths. No trauma. Immunocompromised status. Past history of treatment for abdominal and spinal tuberculosis.
Patient Data
No abnormality is noted.
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A well-defined irregular hypoechoic area is noted abutting left side of manubrium of sternum, anteriorly. It involves lower end of sternal head of left sternocleidomastoid and sternal head of left pectoralis muscle.
Size about 26 x 25 x 10 mm.
No mobile echoes could be seen.
Erosion is noted in underlying cortex of manubrium.
Local hypervascularity is noted.
Sterno-mandibular joint - Normal
Sterno-calvicular joint - normal. No distension of joint calpsule.
1st costo-chondral junction - normal.
Case Discussion
With clinical back ground, ultrasound features favoured tuberculous etiology.
FNA done.
AFB stain - positive.



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