Skeletal metastasis - clavicle

120 views575y Female10/9/2026

Clinical Presentation

Pain in left clavicle.

1A large lytic and expansile lesion involves the medial third of the clavicle
2The study shows increased tracer uptake consistent with osteoblastic bony metastases in left clavicle, proximal part of the left humerus, inferior part of the left sacroiliac joint, T11 vertebral region, T7 and T8 vertebral region, mid-cervical spine, right 8th and 9th ribs laterally
3An expansile multilobulated intramedullary, T1 hypointense, heterogeneous T2 hyperintense enhancing lesion extends from the medial aspect of the clavicle to involve the shaft for a length of approximately 7 cm
4The lesion is expansile with evidence of cortical erosion and cortical breach with a small ( 6mm) soft tissue component protrudes through the posterior cortex of the clavicle
5No convincing periosteal reaction
6There is a wide zone of transition along the lateral aspect of the lesion
7No extension into the manubriosternal articulation
8No encasement of the adjacent subclavian vessels
9Under CT guidance, following lignocaine local anesthetic and IV Meperidine 50mg, via a 13g coaxial needle, six 14g core biopsies of the left clavicle mass were obtained
10No immediate complications