MRI study demonstrates an aggressive lesion involving the right scapula with surrounding heterogeneous enhancing soft tissue component and bone marrow oedema. Prominent axillary lymph nodes are seen. The imaging appearance may raise the possibility of Ewing's sarcoma, another differential diagnosis would include rhabdomyosarcoma. Proximal right humeral metaphyseal fracture with marrow oedema is seen. Right lung posterior segments subsegmental atelectasis is seen.