Unilateral erosion of distal clavicle

Case contributed by Derek Smith
Diagnosis probable

Presentation

Imaged for epigastric pain to exclude perforation.

Patient Data

Age: 45 years
Gender: Male

Erosion of the distal left clavicle. This is a new finding to the previous examination a year ago.

Otherwise, the rest of the depicted skeleton is normal.

No active pulmonary or pleural disease.

No subdiaphragmatic free gas.

Case Discussion

No causative pathology was identified for this case, although the differential diagnosis for unilateral distal clavicle erosion is relatively short, including rheumatoid arthritis, post-traumatic osteolysis, osteomyelitis, myeloma or lytic metastatic disease.

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