Sclerotic rib metastasis

Case contributed by Dai Roberts
Diagnosis almost certain

Presentation

Cough ?LRTI

Patient Data

Age: 70 years
Gender: Male
x-ray

The anterior left 5th rib is sclerotic, with no associated pathological fracture.  No further sclerotic lesions.  The lungs are clear.  The cardiopericardial silhouette and mediastinal contours are normal.  

Case Discussion

The patient's PSA was raised and the sclerotic area was deemed to be a prostate sclerotic metastasis.  The anterior ribs are downsloping on a chest radiograph, whereas the posterior ribs are more horizontal. 

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