PMC6330723_01
Computed tomography: horizontal view of the left scapula. Long arrow: 7-cm long bone spur; short arrow: 3 cm of soft tissue surrounding the exostosis.
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Computed tomography (CT) and magnetic resonance imaging (MRI) of the left scapula showed a 7-cm long bone spur on the ventro-cranial aspect of the scapula, with 3 cm of soft tissue surrounding the exostosis (Figures 1 and 2).
Computed tomography: sagittal view of the left scapula. Long arrow: 7-cm long bone spur; short arrow: 3 cm of soft tissue surrounding the exostosis.
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Computed tomography (CT) and magnetic resonance imaging (MRI) of the left scapula showed a 7-cm long bone spur on the ventro-cranial aspect of the scapula, with 3 cm of soft tissue surrounding the exostosis (Figures 1 and 2).
Magnetic resonance imaging: coronal view of the left scapula. Arrow: tissue surrounding soft tissue.
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MRI was performed without contrast medium due to the patient's massive pain and inability to remain still during the imaging, which resulted in poor image quality (Figure 3).
Subclavian-axillary bypass grafting short arrows (GORE-TEX  8 mm Vascular Graft) made by ventral approach through jugulum and axillary fossa.
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Initially, a ventral approach was taken through the subclavian triangle and axillary fossa, using a GORE-TEX  8 mm Vascular Graft (Figure 4) in the setting of the subclavian artery.
Histopathological evaluation of the surgical specimen showed bone tissue with reactive changes, oedema, chronic inflammation and focal enchondral ossification but no prominent cartilage cap (hematoxylin and eosin staining, magnification 4x).
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The histology report of the surgical specimen showed bone tissue with reactive changes, oedema, chronic inflammation and focal enchondral ossification but no prominent cartilage cap (Figure 5).