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Postgraduate Education Corner: Chest Imaging and Pathology for Clinicians |

Progressive Dyspnea Complicated by Fever and Massive Hemoptysis in a 61-Year-Old Man With Extremity ChondrosarcomaProgressive Dyspnea With Fever and Hemoptysis

Brian M. Haas, MD; G. Kenneth Haines, MD; Myung S. Shin, MD, DSc, FCCP
Author and Funding Information

From the Department of Diagnostic Radiology (Drs Haas and Shin) and Department of Pathology (Dr Haines), Yale School of Medicine, New Haven, CT.

Correspondence to: Brian M. Haas, MD, Department of Diagnostic Radiology, Yale School of Medicine, PO Box 208042, New Haven, CT 06520-8042; e-mail: brian.haas@yale.edu


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2013;144(2):695-699. doi:10.1378/chest.12-2590
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Extract

A 56-year-old man presented with right-side shoulder pain. Radiographs revealed an irregular amorphous lesion within the head of the humerus, which strongly suggested a cartilaginous tumor (Fig 1). MRI confirmed a lesion of likely cartilaginous origin. Open biopsy was performed, and the pathologic results were consistent with low-grade chondrosarcoma. A bone scan and CT scan of the chest revealed no metastatic disease.

Figure 1.Initial shoulder radiograph revealed a lytic lesion centered in the humeral head with amorphous and rounded calcifications typical of a chondroid neoplasm. Surgical biopsy specimen revealed grade II of III chondrosarcoma.

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