대한근골격영상의학회

Title : Case 813

Age / Sex : 43 / F Chief complaint : Worsening right axillary pain What is your diagnosis? Two weeks later, you can see the final diagonosis with a brief discussion of this case (Please submit only one answer) Courtesy : 이지숙 (Jisook Yi), 해운대 백병원 (Haeundae Paik Hospital) Diagnosis: (Musculofascial) Langerhans cell histiocytosis (LCH) involvement Discussion Findings 1.Ill-defined infiltrative soft tissue lesion with contrast enhancement at the right axilla and intermuscular fat layers among deltoid, pectoralis major and minor. 2.Focal involvement of deltoid, pectoralis major, and anterior subcutaneous layer of right shoulder. 3.Encasing vascular structures in right axilla. DDx. Lymphoma References Skeletal Radiol.2013 Sep;42(9):1301-9.

Title : Case 813

Age / Sex : 43 / F

Chief complaint : Worsening right axillary pain

What is your diagnosis?

Two weeks later, you can see the final diagonosis with a brief discussion of this case (Please submit only one answer)

Courtesy : 이지숙 (Jisook Yi), 해운대 백병원 (Haeundae Paik Hospital)

Diagnosis:

(Musculofascial) Langerhans cell histiocytosis (LCH) involvement

Discussion

Findings
1.Ill-defined infiltrative soft tissue lesion with contrast enhancement at the right axilla and intermuscular fat layers among deltoid, pectoralis major and minor.
2.Focal involvement of deltoid, pectoralis major, and anterior subcutaneous layer of right shoulder.
3.Encasing vascular structures in right axilla.

DDx.
Lymphoma

References
Skeletal Radiol.2013 Sep;42(9):1301-9.

Correct Answer
Total applicants	29	Correct answers	0
Name		Institution
Semi-Correct Answer
Total applicants	29	Semi-Correct answers	9
이규정		국군수도병원, 전문의
이진영		전문의
박호영		전공의
홍혁기		전공의
이다경		전공의
김성진		전문의
김창수		전문의
김형민		전문의
김민지		전문의