DDx

[GuP]

i came across a rather vague description and was wondering what others may think the differentials are for an older patient with palpation/percussion tenderness over the thoracic vertebral process

i was thinking maybe osteitis deformans or an osteosarc(too old) or chondrosarcoma (is there pain)?

what do you think?

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[medgirl20]

costochondritis. Painful the rib is being erroded away by an underlying tumour though I think it's present continuously it's worth considering in the ddx

 

[jonb12997]

or it's a somatic dysfunction! hehe, had to toss my DO opinion in there.