PMC4322822_01
A subtle osteitis is seen. The medial site of the clavicle shows an unclear restriction and a heterogeneous aspect.
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fig1
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.
A large mass of the medial clavicle, misread as a callus. It has a moth eaten aspect: typical for osteitis.
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fig2
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.
A large bony mass with heterogenous aspect and translucent areas.
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fig3
An osteitis seemed to be a plausible cause; although Langerhans cell histiocytosis could not be ruled out (Figure 3).
A distinctive hot spot of the right clavicle.
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fig4
Therefor a multifocal disease was unlikely (Figure 4).
Ossification of the lesion.
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fig7
Eighteen months after the first presentation a follow-up X-ray was made (Figure 7).