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Doctor insights on: Sternum Bony Island

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Huge lump on rib cage bone spur?

Huge lump on rib cage bone spur?

Cartilage or bone: You should have this evaluated with x-ray and bone scan to help determine if an excisional biopsy is indicated. ...Read more

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Chest xray what does small bone island 3rd left post rib, osseous density adjacent left 1st ant rib, low dens areas in clavicles scalpula humeri mean?

Follow up...: It is difficult to know the significance of the report you describe without more history. A bone island is a small benign sclerotic focus in the bone, but you also mention low density areas in the clavicles, scapula and humeri. Be sure to follow up with your referring physician about the significance of these findings. I hope this helps. ...Read more

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Bone cysts versus bone spurs?

Bone  cysts versus bone spurs?

Inside bone/tendons.: Bone cysts r contained inside the bone, any where from simple benign @ malignant and need watching. Spurs r at the edges of the bone as in arthritis, or in response 2 tendinitis where a tendon attaches. As patellar tendinitis or where ligaments attach as in heel spurs ( planter fasciitis). Treatments r different 4 each & multiple 4 each. B followed & rx'd by an orthopedic surgeon. ...Read more

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Excruciating pain in scapula, "mass" on mri. Bone spur or bone cancer?

Excruciating pain in scapula, "mass"  on mri. Bone spur or bone cancer?

Sorry to hear: This. A scapula is a very odd bone for a primary tumor, and also odd for something traveled to that bone, but it does no get bone spurs. A "mass" needs to be biopsied. However, it is more likely to be from some other place: lung, breast (w), prostate (m)...My last scapular met came from a kidney primary. ...Read more

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"comminuted fracture is seen within right medial cuniform bone with sliglhty displaced cortical bony fragment laterally do u think cast will heel up?

Probably: Fortunately the cuneiforms are pretty rigid with alot of soft tissue/capsular attachment that help form the midfoot. A cast should help to allow things to heal and ossify. This may predispose you to some midfoot pain/arthritis as you get older. A good arch support may help longterm. I'd let your orthopod determine if cast or boot or postop shoe is appropriate w/o seeing films. ...Read more

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Ct scan"comminuted fracture is seen within right medial cuniform bone with sliglhty displaced cortical bony fragment laterally" surgery or cast? Why .

Ct scan"comminuted fracture is seen within right medial cuniform bone with sliglhty displaced cortical bony fragment laterally"
surgery or cast? Why .

Orthopedic consult: Displaced cuneiform fractures often require an open reduction and internal fixation with screws. This is due to tarsometarsal joint instability. Additional important considerations include - intra-articular vs extra-articular and plane of the fracture. Isolated cuneiform fractures are rare and more likely to happen in association with metatarsal injuries. You need to consult an orthopedic surgeon! ...Read more

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Protruding jaw bone, perhaps?

Protruding jaw bone, perhaps?

Consultation: You should have a detailed clinical examination with the appropriate studies to determine if your protruding jaw is strictly a cosmetic problem and/or a functional problem. Many patients with a protruding jaw also have a malocclusion (bite) problem and cannot chew correctly. If a malocclusion is present, a combination of orthodontics and orthognathic (jaw) surgery may be indicated for correction. ...Read more

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Is lump in middle of rib cage a bone?

Yes : You are probably referring to the zip hood process, which is a bony pronence that projects off the inferior aspect of the sternum. It can be quite prominent in slender people . Thank you. ...Read more

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Bony structure under medial malleolus bilaterally, no pain w/ compression, tibial nerve is palpable, mild flat foot.Could it be misaligned calcaneus?

Bony structure under medial malleolus bilaterally, no pain w/ compression, tibial nerve is palpable, mild flat foot.Could it be misaligned calcaneus?

Misaligned talus: Is usually what happens with what you are describing. This happens in a pronatory foot. Orthotics are good conservative treatment. An implant between the talus and calcaneus is a surgical option. ...Read more

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Could bone mets look like a bone island on mri?

Could bone mets look like a bone island on mri?

Possibly: Bone islands and osteoblastic (bone forming) mets can appear similar. Correlation with cancer history is important. Nuclear medicine bone scan can differentiate the two. ...Read more

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Lump on rib cage just under collar bone in the middle of chest?

Lump on rib cage just under collar bone in the middle of chest?

Impossible to: tell just by this description. Soft tissue mass in this area is most likely lipoma, but it could be abnormally enlarged lymph node caused by infection or tumor. Have your doctor take a look at it. ...Read more

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12 rib bearing thoracic vertebrae w vestigial bilateral twelth ribs. Mild scoliosis convex left t2-3. Minim t7 vertebral ant wedging? Meaning?

12 rib bearing thoracic vertebrae w vestigial bilateral twelth ribs. Mild scoliosis convex left t2-3. Minim t7 vertebral ant wedging? Meaning?

It does NOT: Appear to be indicating there is too much to worry about. The first sentence in your question is a normal finding. Mild scoliosis, is nothing to worry about, given there is less chance of it progressing since you are done growing. T7 wedging may represent a normal finding -- possibly a congenital osteodystrophy, which lead to the vertebra not appearing like a cube. See a spine specialist. ...Read more

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Is barrel chest a protruding sternum?

Is barrel chest a protruding sternum?

Not exactly: Appropriately, the chest wall deformity is called pectus carinatum. Another term is pigeon chest. Barrel chest is usually used to describe a patient with copd/emphysema in whom the chest is larger in all dimensions. ...Read more

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My chest bone sticks out, kind of noticeable. Protruding sternum help?

My chest bone sticks out, kind of noticeable. Protruding sternum help?

CARINATUM: Two deformities of the sternum. Pectus carinatum(pigeon chest) and pectus excavatum (sunken chest). Pectus excavatum if severe may produce symptoms, pectus carinatum usually not symptomatic. Pectus excavatum sometimes may require correction. ...Read more

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2 sm linear soft tissue calcifications mid lower leg, undetermined etiology/pathologic significance & ossicle at ant. Tibia plateau. Possibilities?

2 sm linear soft tissue calcifications mid lower leg, undetermined etiology/pathologic significance & ossicle at ant. Tibia plateau. Possibilities?

Signs of old injury?: Calcium could be laid in the soft tissues that previously got inflamed and or injured. Monitoring for growth/ pain/ associated clinical symptoms is needed to see if a tissue biopsy is needed. ...Read more

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Cortisol causes bone resorption, would it resorb my cheekbone implants made from rib cartilage?

Cortisol causes bone resorption, would it resorb my cheekbone implants made from rib cartilage?

Rib: You should see the doctor who did the cheekbone implants and see if there is any change. A baseline bone density study would be in order but you would only need worry about your bones if the density T-score is more than -2.5. ...Read more

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Treatment for undisplaced fracture or bone bruise of posterior medial talus and articular surface, and minor bone bruise distal calcaneous?

Treatment for undisplaced fracture or bone bruise of posterior medial talus and articular surface, and minor bone bruise distal calcaneous?

See orthopedic surg: Please see an orthopedic surgeon. Most likely need to be on crutches for a number of weeks. May need to wear a cast or boot as well. Some taler fractures also result in AVN which prolong the treatment course. ...Read more