case_images: PMC10834024_01
case_images: X-ray chest (frontal view). Frontal view of the chest with shallow inspiration and no acute pulmonary disease or fractures. There is hyperostosis, sclerosis, and expansion of the right scapula (red arrows).
case_images: cureus-0016-00000051533-i01.jpg
case_images: PMC10834024_01_cureus-0016-00000051533-i01.jpg
case_images: FIG1
case_images: Radiographs of the right upper extremity and chest were obtained without evidence of fractures or acute pulmonary disease (Figures 1, 2).
case_images: Initial frontal radiographs of the right upper extremity. Initial frontal radiographs of the right upper extremity (a) and internal (b) and external (c) views of the right shoulder without evidence of acute fracture or gross dislocation.
case_images: cureus-0016-00000051533-i02.jpg
case_images: PMC10834024_01_cureus-0016-00000051533-i02.jpg
case_images: FIG2
case_images: Radiographs of the right upper extremity and chest were obtained without evidence of fractures or acute pulmonary disease (Figures 1, 2).
case_images: X-ray images of skull, chest, abdomen, hips and bilateral lower extremities. Partial skeletal survey of the skull/mandible (a), abdomen, hips and bilateral lower extremities (b) and the chest (c). Given an available comparison of the left shoulder, there is indistinctness of the contour of the right scapula (red arrows).
case_images: cureus-0016-00000051533-i03.jpg
case_images: PMC10834024_01_cureus-0016-00000051533-i03.jpg
case_images: FIG3
case_images: At this time, a skeletal bone survey demonstrated hyperostosis of the right scapula without additional sites of osseous involvement (Figure 3), which in retrospect, was present on initial radiographs.
case_images: Fast spin-echo T2 weighted, fat-suppressed T2W imaging. Sagittal (a) and axial (b) T2 fast spin-echo fat-sat images through the body of the superior and inferior (c) scapula are presented. There is a thickening of the cortex with subcortical edema and periostitis of the scapula without a glenohumeral joint effusion. Extensive intramuscular edema of the rotator cuff muscles (subscapularis, teres minor, supra- and infraspinatus) is noted, with relative sparing of the deltoid.
case_images: cureus-0016-00000051533-i04.jpg
case_images: PMC10834024_01_cureus-0016-00000051533-i04.jpg
case_images: FIG4
case_images: A concomitant MRI, this time requested by orthopedic surgery to rule out osteomyelitis, demonstrated prominent periostitis of the scapula with extensive surrounding intramuscular edema (Figure 4) without bony erosion or abscess formation.