Case 60

This radiograph shows a patient with a left claviculectomy for venous thoracic outlet syndrome. This is an uncommon surgical treatment for this condition, with first rib resection being more common. In some cases a clavicle fracture with subsequent malunion or nonunion can case thoracic outlet syndrome and can be treated with claviculectomy or corrective clavicle osteotomy. A left subclavian venous stent is also in place, another possible treatment for venous thoracic outlet syndrome.

Surgical clips are seen in the right upper quadrant, most likely from cholecystectomy. Two surgical clips are also present in the left breast. The exam is otherwise unremarkable.

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