On auscultation, early inspiratory crepts were present on left infrascapular
and right infraaxillary and axillary regions and scattered wheeze was present.
Its characteristic infrascapular
location, soft-tissue or homogeneous central fatty attenuation allows for visualization on imaging.
Radiates to the back and/or right infrascapular
A 54-year-old man with rheumatoid arthritis presented for excision of an infrascapular
melanoma and sentinel lymph node biopsy.
Systemic examination showed a hepatomegaly of 10 cm and bilateral crackles in the scapular and infrascapular
* A murmur can sometimes be heard in the infrascapular
and intrascapular regions of the back.
Respiratory examination revealed crepitations in bilateral inframammary, infraaxillary, and infrascapular
On auscultation breath sounds reduced in intensity bilaterally with late inspiratory fine crepitations heard over bilateral infraaxillary and infrascapular
There was a huge fluctuant nontender, nonpulsatile swelling with ill-defined margin in right paravertebral region extending from infrascapular
area up to right loin [Figure 1].
Respiratory examination revealed asymmetrical chest with tracheal shift towards the left, diminished movement and vocal fremitus on the right side with dull note in the mammary, infraaxillary and infrascapular
On admission, physical examination revealed prominent clubbing, SpO2 76%, tachycardia, tachypnea, BP 110/80mmHg, raised JVP, bilateral pedal oedema, tubular bronchial breath sounds over right infrascapular
region and late inspiratory crackles, predominantly over bilateral infrascapular
Systemic examination revealed few coarse rales bilaterally with reduced breath sounds in the right infra axillary and infrascapular