A mediastinal mass presenting with unilateral periscapular and arm pain.

McCormick, Zack; Bouffard, Karina J; Neudorf, Daniel; Casey, Ellen · PM R · 2014

case_report · Level V

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Abstract

We describe a case of a patient with mediastinal lymphoma who presented with arm and scapular pain, which is an atypical referral pattern for pain originating from the mediastinum. We use this case as a platform to discuss mediastinal pain referral patterns and the importance of maintaining a broad differential diagnosis of arm and scapular pain, especially when symptoms atypical of pure neuromusculoskeletal structural disease are present.

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