Anterior and posterior whole body images
View main image(bs) in a separate image viewer
View second image(bs). Spot images of bone scan
View third image(ct). CT of the chest
View fourth image(ct). CT of the chest
Full history/Diagnosis is available below
CT of the chest demonstrated that large locally invasive right breast mass seen extending through the right pectoralis major and minor to the level of the rib cage with multiple necrotic lymph nodes within the subpectoral and right axillary regions. Large suprasternal soft tissue mass likely from local spread is seen invading the sternum.
General differential diagnosis of central area of decreased uptake in bone surrounded by a rim of increased uptake:
Common: Agressive neoplasms; can also be seen in osteomyelitis and bone abscess, and previous surgery such as craniotomy.
Uncommon: Giant-cell tumor.
Rare: Coccidioidomycosis, osteoporosis circumscripta.
A. BREAST, LEFT, MODIFIED RADICAL MASTECTOMY - Invasive ductal adenocarcinoma, poorly differentiated.
B. SOFT TISSUE, RIGHT AXILLARY MASS, EXCISION - Metastatic adenocarcimoma, poorly differentiated
C. CHEST WALL, ANTERIOR, BIOPSY - Metastatic adenocarcimoma, poorly differentiated
D. SOFT TISSUE, ANTERIOR CHEST WALL MASS - Metastatic adenocarcimoma, poorly differentiated, consistent with breast primary
References and General Discussion of Bone Scintigraphy (Anatomic field:Skeletal System, Category:Neoplasm, Neoplastic-like condition)
Search for similar cases.
Edit this case
Add comments about this case
Return to the Teaching File home page.
Copyright by Wash U MO