Season 1 Case 40

History: Chest pain

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