64/M T2/3 Right infrascapular
pain, 2015 (54) no deficits Wang et al.
On auscultation, coarse crepts were heard on bilateral infra-axillary, axillary, bilateral infrascapular
and bilateral mammary areas, diffuse scattered wheeze is present all over the chest.
Noncontrast CT demonstrated the presence of soft-tissue masses in the infrascapular
region bilaterally, just deep to the anterior serratus and latissimus dorsi muscles, larger on the right measuing 7.1 cm in the AP dimension by 2.5 cm in the transverse dimension, by 6.6 cm in the craniocaudal dimension.
Physical examination revealed rales and bronchial breathing in the right infrascapular
The patient did have a history of multiple motor vehicle accidents resulting in whiplash associated injuries to the neck and infrascapular
back area 15 to 20 years prior.
However, oxygen saturation was maintained at 96% in room air, with decreased breath sounds on the right infrascapular
All patients had symptoms of gallstone disease like fatty meal intolerance, belching and bloating, biliary colic, epigastric pain, and right upper quadrant pain with radiation to the infrascapular
On physical examination, the patient may have a unilateral and ill-defined tan, pink, or hyperpigmented nonindurated patch on the infrascapular
back that is a result of long-time scratching.
In lower respiratory tract, trachea was slightly shifted to right side, breath sounds were absent on left infra-axillary, infrascapular
, interscapular, and right infrascapular
Pleural rub was audible on left infrascapular
area suggesting pleurisy.
Examination of lower respiratory system revealed biphasic and coarse crepitations over the left infrascapular
The distribution of BN localization was as follows: mostly on the pectoral region (24.64%), and in decreasing order, on the scapular region (23.18%), shoulder (18.84%), infrascapular
region (17.39%), arm (5.80%), abdomen (5.80%) and the thigh (4.35%).