case_images: PMC4322822_01
case_images: A subtle osteitis is seen. The medial site of the clavicle shows an unclear restriction and a heterogeneous aspect.
case_images: CRIRH2015-182731.001.jpg
case_images: PMC4322822_01_CRIRH2015-182731.001.jpg
case_images: fig1
case_images: An X-ray was made because of a suspected fractured clavicle (Figure 1): in retrospect a minor swelling of the medial clavicle was observed, with a slight heterogeneous aspect.
case_images: A large mass of the medial clavicle, misread as a callus. It has a moth eaten aspect: typical for osteitis.
case_images: CRIRH2015-182731.002.jpg
case_images: PMC4322822_01_CRIRH2015-182731.002.jpg
case_images: fig2
case_images: August, the patient had persistent pain and a swelling of the clavicle during physical examination. A new X-ray was made (Figure 2): this showed a large, heterogeneous mass of the medial side, without a soft tissue component.
case_images: A large bony mass with heterogenous aspect and translucent areas.
case_images: CRIRH2015-182731.003.jpg
case_images: PMC4322822_01_CRIRH2015-182731.003.jpg
case_images: fig3
case_images: An osteitis seemed to be a plausible cause; although Langerhans cell histiocytosis could not be ruled out (Figure 3).
case_images: A distinctive hot spot of the right clavicle.
case_images: CRIRH2015-182731.004.jpg
case_images: PMC4322822_01_CRIRH2015-182731.004.jpg
case_images: fig4
case_images: Therefor a multifocal disease was unlikely (Figure 4).
case_images: Ossification of the lesion.
case_images: CRIRH2015-182731.007.jpg
case_images: PMC4322822_01_CRIRH2015-182731.007.jpg
case_images: fig7
case_images: Eighteen months after the first presentation a follow-up X-ray was made (Figure 7).