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June 16, 1969, Vol 208, No. 11 >

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ARTICLE | June 16, 1969

Rib Lesions—Two of a Kind

Edward H. Eliscu, MD
JAMA. 1969;208(11):2074-2076. doi:10.1001/jama.1969.03160110046012.
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Dr. Raymond A. Berke: This 39-year-old white woman entered the hospital with a history of intermittent sharp pain in her back and side of eight months' duration. The pain was brought on by coughing or twisting and usually was relieved by the patient leaning forward. There was no history of trauma. Review of systems was not remarkable. Physical examination revealed a tender mass over the tenth rib posteriorly. The hematocrit reading was 34% and level of alkaline phosphatase, 7.1 Bodansky units. The results of all other laboratory examinations, including calcium, phosphorus, bilirubin, proteins, and bone marrow studies were normal. Chest roentgenograms were done at the time of admission.

Discussion  Dr. Laurence L. Robbins: Dr. New, can you see a lesion?Dr. Paul F. J. New: Yes, there is quite a large osteolytic lesion in the posterior portion of the left tenth rib with an associated fracture (Fig 1). This is

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