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XRMusculoskeletalConfirmedFRCR 2B
Ewing sarcoma - humerus
Clinical Presentation
A 15-year-old male presents with insidious, progressive bone pain waking them from sleep, accompanied by localized palpable swelling and constitutional symptoms.
- 1Heterogeneous lucency is noted at the right humeral head and neck
- 2A heterogeneous intramedullary lesion is noted involving the right humeral head and neck, which is hypointense on T1 and hyperintensity on T2-weighted sequences with heterogeneous postcontrast enhancement on T1 C+ fat sat
- 3This is extending downwards to involve the rest of the medullary cavity of the humerus with heterogeneous postcontrast enhancement.Permeative cortical destruction is noted with surrounding subperiosteal soft tissue proliferation
- 4The lateral scapula including the glenoid is also affected by the same process
- 5High uptake of the right humeral head and neck.