Lurking In The Acoustic Shadows: Uncovering An Uncommon Diagnosis With Ultrasound

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Lurking In The Acoustic Shadows: Uncovering An Uncommon Diagnosis With Ultrasound - Page #3

Lab Studies: None Other Studies: Ultrasound-guided glenohumeral joint injection was planned for suspected adhesive capsulitis. During the pre-injection scan, the sonographer noticed abnormalities of the humeral head including cystic changes, cortical bone thinning, and posterior acoustic enhancement <a href="CaseStudyImages/CS1LurkingInTheAcous-1297.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> . Injection was aborted. Shoulder radiographs were repeated and showed a lytic lesion in the humeral head <a href="CaseStudyImages/CS2CS1LurkingInTheAc-1297.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> . Urgent magnetic resonance imaging revealed a soft tissue mass in the posterior humeral head with extension into the glenohumeral joint and subacromial subdeltoid bursa <a href="CaseStudyImages/CS3CS2CS1LurkingInTh-1297.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a> . Consultations: The patient was referred to interventional radiology for biopsy of the humeral head mass. Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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