Question 2233
{"accessible":true,"alternatives":[{"id":11058,"text":"permeative lesion in the humeral shaft favored to be Ewing sarcoma"},{"id":11059,"text":"permeative lesion in the humeral shaft favored to be osteosarcoma"},{"id":11060,"text":"permeative lesion in the scapula favored to be Ewing sarcoma"},{"id":11061,"text":"permeative lesion in the scapula favored to be osteosarcoma"},{"id":11062,"text":"permeative lesions in the humerus and scapula favored to be neuroblastoma metastases"}],"archived":false,"correctAlternativeId":11060,"explanation":"\u003cp\u003eThere is a permeative\u0026nbsp;lesion within the scapula\u0026nbsp;with aggressive spiculated periosteal reaction. The location within a flat bone would favor Ewing sarcoma over osteosarcoma.\u0026nbsp;\u003c/p\u003e\u003cp\u003eThe humeral shaft is normal. There is often thickening of the cortex at the deltoid insertion which should not be confused for pathology.\u003c/p\u003e","id":2233,"imageUrl":"https://prod-images-static.radiopaedia.org/multiple_choice_questions/458/b2457c598d7097695646995edda10d_big_gallery.jpeg","imageAttribution":{"kind":"case","rID":60692},"imageAttributionCaseInfo":{"title":"Ewing's sarcoma of scapula","contributor_name":"Salman S. Albakheet","contributor_param":"salman049","case_rid":60692,"case_param":"ewings-sarcoma-of-scapula"},"firstQuestionPath":"/questions/2233","nextQuestionPath":"/articles/osteosarcoma/questions/2232","relatedArticles":[{"id":1722,"title":"Neuroblastoma","link":"/articles/neuroblastoma?lang=us"},{"id":7852,"title":"Ewing sarcoma","link":"/articles/ewing-sarcoma?lang=us"},{"id":1860,"title":"Periosteal reaction","link":"/articles/periosteal-reaction?lang=us"}],"alsoUsedIn":[{"id":1119,"kind":"RestrictedPage","title":"Page 1119 (in no courses)","link":"https://radiopaedia.org/admin/restricted_pages/1119"},{"id":2086,"kind":"Course","title":"2024 Virtual Conference Private Use - page 2086","link":"https://radiopaedia.org/courses/2024-virtual-conference-private-use/pages/2086"},{"id":2086,"kind":"Course","title":"X-ray Interpretation: Bone Lesions Peer Review - page 2086","link":"https://radiopaedia.org/courses/x-ray-interpretation-bone-lesions-peer-review/pages/2086"},{"id":2086,"kind":"Course","title":"X-ray Interpretation: Bone Lesions - page 2086","link":"https://radiopaedia.org/courses/x-ray-interpretation-bone-lesions/pages/2086"}],"stem":"\u003cp\u003eAxial view of the left shoulder in an 11-year-old female with progressive pain. Which interpretation would be the most correct?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/2233"}],"attemptsPercentages":[{"alternativeId":"11060","percentage":60},{"alternativeId":"11058","percentage":10},{"alternativeId":"11059","percentage":3},{"alternativeId":"11061","percentage":14},{"alternativeId":"11062","percentage":14}],"promptToLogin":false,"questionManager":false,"articleId":"osteosarcoma"}