This 32-years old man complained of a small lump in the mid thoracic wall posteriorly, for many years. He had an episode of pain and tenderness and underwent an imaging series.
The plain radiographs (Figs. 1, 2) were able to demonstrate the bony projection / exostosis only on the tangential view (Fig. 2). The MRI showed continuity of the lesion with the scapular marrow, with a thin cartilage cap (Figs. 3, 4). The CT scan showed the lesion well (Fig. 5).
In flat bones, especially, depiction of lesions often requires manipulation of x-ray parameters to the best of our ability and even then, it may be difficult to visualize the lesion. In such situations, CT and / or MRI become primary diagnostic tools and help depict these lesions better.
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