November 2022 Imaging Case of the Month: Out of Place in the Thorax

Abstract

No abstract available. Article truncated after 150 words. History of Present Illness: A 30-year-old woman presented with complaints of left-sided back pain and numbness. She denied any history of trauma. PMH, SH, FH: No significant past medical history. She denied smoking and use of illicit substances. Her family history was largely unremarkable, positive only for a history of gastrointestinal stromal tumor affecting her father. Medications: Her medications included fluoxetine, spironolactone, and Celebrex (celecoxib). Physical Examination: The patient’s physical examination showed her to be afebrile with pulse rate and blood pressure within the normal range. Laboratory Evaluation: A complete blood count showed a hemoglobin and hematocrit value of 14.3 gm/dL (normal, 13.2-16.6 gm/dL) and 41.5% (normal, 38.3-48.6%) and a platelet count of 253 x x109/L (normal, 135-317 x109/L). The white blood cell count was normal at 6.9 x109/L (normal, 3.4-9.6 x109/L), with no left shift. The eosinophil count was normal. Liver function studies were entirely normal. Serum chemistries were …

Keywords

• chest wall mass
• destroyed ribs
• periosteal reaction
• chest x-ray
• ct scan
• chest magnetic resonance imaging
• chest ultrasound
• desmoid tumor
• differential diagnosis
• diagnosis