Findings, case of 62-year-old man, progressive right arm pain

Imaging Findings

A radiograph of the right humerus shows multiple high density opacities in the axilla. It is unclear whether or not calcifications are present, though there is some evidence of mineralization. The lesion does not appear to be contiguous with any bone. In this location, possible soft tissue masses include sarcoma (such as chondrosarcoma and synovial cell sarcoma) and treated lymphoma. An axial CT image shows an irregular, calcified lesion abutting the cortex of the medial aspect of the proximal right humerus. It appears fragmented. There is very little soft tissue component, but the center of the lesion is in the soft tissues. The bone scan shows a highly mineralized focus of uptake in the right axilla.

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