Bone scintigraphy showed a suspicious isotope uptake in D7 (Dorsal 7th) vertebra and right 4th costovertebral
1) Upper to mid-thoracic and costovertebral
pain and stiffness are a common entity presenting to chiropractic, physiotherapy, massage therapy and medical offices (2-4) especially following motor vehicle accidents5.
Patients included in the study were 18-80 years old, who presented with unilateral flank or costovertebral
angle pain with or without other clinical features suggestive of renal or ureteric calculus based on clinician's judgement.
anomalies in osteogenesis imperfecta.
The classic triad of RCC includes costovertebral
pain, palpable mass, and hematuria which is present only in 10% of cases.
On physical examination, she had suprapubic and right costovertebral
We enrolled patients [greater than or equal to] 18 years of age who sought care during July 2013-December 2014 and had flank pain or costovertebral
tenderness; temperature [greater than or equal to] 38.
Physical examination showed left costovertebral
angle tenderness when slightly tapped at left kidney region (affected area).
The paravertebral areas (The costovertebral
sulci) situated bilaterally are not truly within the mediastinum, but lesions arising within these regions are classically defined in medical literature as mediastinal in origin.
In addition to the involvement of the thoracic vertebrae, normal motion is compromised due to fusion of the joints at the costovertebral
, costosternal, manubriosternal and sternoclavicular levels, and chest expansion is therefore significantly restricted.
TB abscesses of the chest wall are usually seen at the margins of the sternum and along the rib shafts, and can also involve the costochondral junctions, costovertebral
joints and the vertebrae (7).
Physical exam elicited a soft but distended abdomen with right costovertebral
angle (CVA) tenderness.