RT Journal
A1 Eliscu EH
T1 RIb lesions—two of a kind
JF JAMA
JO JAMA
YR 1969
FD June 16
VO 208
IS 11
SP 2074
OP 2076
DO 10.1001/jama.1969.03160110046012
UL http://dx.doi.org/10.1001/jama.1969.03160110046012
AB 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