Season 1 Case 40
Case 40 History: Chest pain
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Answer:
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Everyone get this one? One of the old school differentials.
Answer: Ivory vertebral body (normal size but diffusely white/sclerotic)
DDX:
metastatic disease, especially carcinoma of the prostate or breast
Paget disease (not the classic presentation of Paget’s)
lymphoma, particularly Hodgkin lymphoma (look for soft tissue mass)
rare: carcinoid
Nice full write-up: http://radiology.rsna.org/content/235/2/614.long