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Rib involvement by metastasis from squamous cell carcinoma of tongue

This 38-years old man had successfully undergone surgery and adjuvant therapy for carcinoma tongue and adjacent nodes.

Six months later, he presented with chest pain and a left pleural effusion. PET/CT showed uptake along the left 7th and 8th ribs.

The sagittal reconstruction shows the rib involvement well, but so does the unfolded rib view.

A biopsy was performed through the pleural collection and confirmed metastatic spread

#unfoldedrib from Instagram:

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