A 24 Y/O man with past history of pain in his arm

 

Doctor's Information

Name : Maryam
Family :Noori
Email : This email address is being protected from spambots. You need JavaScript enabled to view it.
Resident : ----------------

 

Patient's Information

Gender : Male
Age : 24

 

Case Section

Muskuloskeletal System

 

Clinical Summary

A 24-year-old man with past history of pain in his arm & progressive swelling further evaluated

 

Images

 

Imaging Procedures and Findings

A 24-year-old man with past history of pain in his arm & progressive swelling underwent chest CT scan which showed destructive bone tumor in meta-diaphysis of left humerus with extension to epiphysis. Also performed scan depicted multiple calcified pulmonary nodules related to metastases.

 

Discussion

Ewing sarcoma involved diaphysis of long bone associated with large soft tissue mass. Osteomyelitis showed no bone formation and always showed sequestrum. Chondrosarcoma typically associated with ring and arc calcifications. Osteosarcoma is most common malignant primary bone tumor in young adults and children & showed bone destruction with associated tumor bone formation and aggressive periosteal reaction also pulmonary metastases is common. (often calcifying ).

 

Final Diagnosis

Osteoblastic Osteosarcoma with calcified pulmonary mets.

 

References

Diagnostic Imaging Orthopedics, David W. Stoller. MD. FACR, Phillip F.J. Tirman. MD, Miriam A. Bredella. MD, et al. Fundamental of diagnostic radiology, William E. Brant, Clyde A. Helms.

 

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