The lesion is certainly benign, so the DDx is academic…I presume it will be excised and will try to get follow up.
Don Resnick and Darra Murphy both suggested the possibility of Melorheostosis….I was not aware that it could look like this when it affects the scapula; apparently it can.
Though you would expect additional lesions of the shoulder and / or neck / hemithorax.
Based on the scout, I see no other lesions.
See the attached article.
Thanks.
Hilary
There should be cortical and medullary continuity to confirm osteochondroma, as I understand it. There is such dense sclerosis, that I don’t know if there is medullary continuity. I’m not sure if the thinness of the scapular body and the chronic friction at the chest wall is confounding the issue with reactive sclerosis.
I presume this is causing mechanical symptoms and will come out, but would you consider some differential diagnosis?
Heterotopic ossification?
BPOP in a bizarre location?
Other?
