30yo M with 22 months non specific chest wall pain, referred with suspected
costochondritis. Pain is mostly left chest wall—-visible
costal cartilage and adjacent ribs look normal.
No symptoms of peripheral arthritis, no skin lesions. Says he has
occasional back pain, but did not specify.
No XRs or any other imaging available.
Is any other imaging advised other than Rheum consult?
I think this can be seen with SpA, RA and SAPHO….but I’m not sure how
broad the ddx should be with such isolated findings.
[image: manubriosternal 30M.jpg]
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1 thought on “Please Help, MRI anterior chest wall, 30M”
harun.gupta
Just discussed with Hilary.
Agree with d/d (SpA > SAPHO). In our practice, I recall them for SIJ MRI
protocol.
Attached is a similar example case – referred for sternal MRI and was
recalled on basis of findings for SIJ protocol and diagnosis was SpA.
BW
Harun
Agree with d/d (SpA > SAPHO). In our practice, I recall them for SIJ MRI
protocol.
Attached is a similar example case – referred for sternal MRI and was
recalled on basis of findings for SIJ protocol and diagnosis was SpA.
BW
Harun
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