This just in…..Sag and Cor images from a CT in 2017
It really isn’t changed…..we’re writing it off as stable, likely post RTx changes
On Wed, Apr 9, 2025 at 11:20 AM hilary wrote:
These oblique reformats show healed fractures of 2 consecutive levels
The lower rib fracture has dense sclerosis with adjacent irregular chest wall calcification …that is not organized as I would expect with ossified hematoma or myostitis ossificans
These are axial plane images through the nasty looking rib
These are short axis reformats
The fact that there is a benign healed fracture at the level above makes me think these are just traumatic fractures with post traumatic soft tissue mineralization…..but I am concerned that there is the dense mineralization at the site of the old healed fracture and worry that this could have been a pathologic fracture (perhaps an aggressive chondroid lesion?)….with an adjacent uncomplicated fracture (out of sympathy??)
My body imager colleague and I are hoping you have some good advice.
Thank you,
Hilary
