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Year : 2012  |  Volume : 29  |  Issue : 1  |  Page : 85-86  

"Ring and arc'' calcification in a rib mass

1 Department of Medicine, Christian, Medical College and Hospital, Ludhiana, Punjab, India
2 Department of Pulmonary Medicine, Christian, Medical College and Hospital, Ludhiana, Punjab, India

Date of Web Publication28-Jan-2012

Correspondence Address:
Akashdeep Singh
Department of Pulmonary Medicine, Christian Medical College and Hospital, Ludhiana-141008, Punjab
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0970-2113.92375

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How to cite this article:
James R, Singh A, Kaur R. "Ring and arc'' calcification in a rib mass. Lung India 2012;29:85-6

How to cite this URL:
James R, Singh A, Kaur R. "Ring and arc'' calcification in a rib mass. Lung India [serial online] 2012 [cited 2020 Aug 8];29:85-6. Available from: http://www.lungindia.com/text.asp?2012/29/1/85/92375

A 42-year-old female presented with complaints of progressively increasing right shoulder pain of 6 months duration along with low-grade fever. She was evaluated at another center, and based on radiology (chest X-ray), she was started on anti-tubercular treatment with which she had no response.

Physical and neurologic examinations were normal. Chest radiography revealed a partially calcified mass in the right upper zone area [Figure 1]. Routine hematological investigations and repeated bacteriological examinations of the sputum were normal.
Figure 1: Chest radiograph showing a right upper lobe mass lesion

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A computed tomography (CT) scan of the chest revealed a 4 cm × 5 cm lobulated mass arising from the right second posterior rib [Figure 2]. The mass revealed scattered calcification(ring and arc pattern). There were no other bony lesions or enlarged lymph nodes so as to suggest a metastatic disease. The tumor was excised along with the second rib.
Figure 2: Non-contrast computed tomography of chest revealing a mass lesion with ring and arc calcification

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Q1. What is your diagnosis?

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   References Top

1.Giuffrida AY, Burgueno JE, Koniaris LG, Gutierrez JC, Duncan R, Scully SP. Chondrosarcoma in the United States (1973 to 2003): An analysis of 2890 cases from the SEER database. J Bone Joint Surg Am 2009;91:1063-72.  Back to cited text no. 1
2.Kitada M, Ozawa K, Sato K, Hayashi S, Sasajima T. Resection of a chondrosarcoma arising in the right first rib: A case report. Ann Thorac Cardiovasc Surg 2010;16:118-21.  Back to cited text no. 2
3.Somers J, Faber LP. Chondroma and chondrosarcoma. Semin Thorac Cardiovasc Surg 1999;11:270-7.  Back to cited text no. 3
4.Murphey MD, Walker EA, Wilson AJ, Kransdorf MJ, Temple HT, Gannon FH. From the archives of the AFIP: Imaging of Primary Chondrosarcoma: Radiologic-Pathologic Correlation. Radiographics 2003;23:1245-78.  Back to cited text no. 4


  [Figure 1], [Figure 2], [Figure 3]


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