Jan 27, 2023
This is an 11-year-old girl with several months of right chest pain.
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This case is your reminder that not all important chest x-ray findings are in the heart and lungs. There is a mixed lytic/sclerotic lesion in the right lateral 10th rib. At CT this was shown to be an expansile mass with a large soft tissue component. In a patient of this age, you should be thinking sarcoma, and this was indeed Ewing sarcoma.
Case courtesy of Brian Gilcrease-Garcia, Radiopaedia.org, rID: 65212
