EURORAD ESR

Case 9606

Calcific tendonitis of pectoralis major

Author(s)
Revelli M, Paparo F, Piccazzo R, Migone S, Muda A, Garlaschi G

Università degli Studi di Genova, Sezione di Diagnostica per Immagini
 
Patient
female, 53 year(s)
 
 
  • Figure 1
    Radiographic examination

    Radiographic examination (AP view) of the chest, showing a radiopaque image in the right humeral diaphysis (arrow).

     
    Area of Interest: Musculoskeletal system; Imaging Technique: Digital radiography; Procedure: Diagnostic procedure; Special Focus: Calcifications / Calculi;
     
     
  • Figure 2
    MR examination - Sagittal Plane
     

    Sagittal Spin-Echo T1-weighted image of the right arm, demonstrating signal alteration of the bone marrow (asterisk).

     
    Area of Interest: Musculoskeletal system; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Calcifications / Calculi;

    Sagittal Fat-Sat T2-weighted image of the right arm, demonstrating high signal intensity of the bone marrow (asterisk).

     
    Area of Interest: Musculoskeletal system; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Calcifications / Calculi;
     
     
  • Figure 3
    MR examination - Axial Plane
     

    Axial Spin-Echo T1-weighted image of the right arm, demonstrating suspect cortical involvement and signal alteration of the bone marrow.

     
    Area of Interest: Musculoskeletal system; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Calcifications / Calculi;

    Axial Fat-Sat T2-weighted image of the right arm, demonstrating high signal intensity of the bone marrow.

     
    Area of Interest: Musculoskeletal system; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Calcifications / Calculi;
     
     
  • Figure 4
    CT examination
     

    Axial CT evaluation of the right arm, showing calcification (arrowhead) within the distal tendon of pectoralis major muscle and cortical erosion at the enthesis.

     
    Area of Interest: Musculoskeletal system; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Calcifications / Calculi;

    Axial CT evaluation of the right arm, showing calcification (arrowheads) within the distal tendon of pectoralis major muscle.

     
    Area of Interest: Musculoskeletal system; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Calcifications / Calculi;
     
     
  • Figure 5
    3D surface-rendered reconstruction

    3D surface-rendered reconstruction, confirming the presence of calcification (arrow) at the enthesis of pectoralis major tendon.

     
    Area of Interest: Musculoskeletal system; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Calcifications / Calculi;
     
     
Radiographic examination (AP view) of the chest, showing a radiopaque image in the right humeral diaphysis (arrow).
 
Sagittal Spin-Echo T1-weighted image of the right arm, demonstrating signal alteration of the bone marrow (asterisk).
 
Sagittal Fat-Sat T2-weighted image of the right arm, demonstrating high signal intensity of the bone marrow (asterisk).
 
Axial Spin-Echo T1-weighted image of the right arm, demonstrating suspect cortical involvement and signal alteration of the bone marrow.
 
Axial Fat-Sat T2-weighted image of the right arm, demonstrating high signal intensity of the bone marrow.
 
Axial CT evaluation of the right arm, showing calcification (arrowhead) within the distal tendon of pectoralis major muscle and cortical erosion at the enthesis.
 
Axial CT evaluation of the right arm, showing calcification (arrowheads) within the distal tendon of pectoralis major muscle.
 
3D surface-rendered reconstruction, confirming the presence of calcification (arrow) at the enthesis of pectoralis major tendon.
 
 
 
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