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Virtual Pediatric Hospital: Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease: Case 23 Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease

Case 23

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed


Chief Complaint:
Twenty-four year old male status post radiation therapy for rhabdomyosarcoma with an incidental finding on a chest film.

Clinical History:
The patient was a 24 year old male with a past history of familial multiple neoplasia syndrome. He was status post radiation therapy for rhabdomyosarcoma in the distant past.

Clinical Physical Exam:
Unremarkable

Clinical Labs:
Non-contributory

Clinical Differential Diagnosis:
Not applicable

Imaging Findings:
A routine PA chest film revealed a 2 cm calcific density associated with the head of the left 3rd rib. Chest CT exam revealed bony outgrowths at the proximal aspect of the left third rib posteriorly and the anterior aspect of the scapula.

icon gifImage 1

icon gificon gifImages 2 and 3

Imaging Differential Diagnosis:
Post radiation osteochondroma

Operative Findings:
None

Pathological Findings:
None

Final Diagnosis:
Osteochondroma, Chest Wall

Follow-up and Prognosis:
Not available.

Similar Cases:
None

References:

Title Page


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