Right shoulder pain and stiffness of 2 days duration, on therapeutic anticoagulation for portal vein thrombosis.
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There is a large heterogenous intramuscular hematoma seen surrounding the right scapula, more prominently surrounding the right subscapularis muscle. It is associated with surrounding fatstranding,, measuring approximately 7 x 11 x 12 cm.
This is a case of subscapularis hematoma in a patient with a known background of renal cell carcinoma. They were admitted 10 days ago and found to have a non-occlusive portal vein thrombosis upon investigation for biliary obstruction. Accordingly, they had an ERCP and was started on Enoxaparin sodium, and then visited the emergency department complaining of right shoulder pain and stiffness, with no history of any recent trauma.
Acknowledgements: Zaid Al-Omari, M.D, KHCC.