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Unusual, painful lump
  1. David Gordon Savage
  1. Emergency Department, Aberdeen Royal Infirmary, Aberdeen, UK
  1. Correspondence to Dr David Gordon Savage, Emergency Department, Aberdeen Royal Infirmary, Aberdeen AB25 2ZN, UK; davidsavage{at}

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Clinical Introduction

A 16-year-old male patient presented with 48-hour history of a painful swelling over the right sternoclavicular joint. He had recently returned from holiday in Turkey but gave no history of trauma. Palpation over the swelling was very tender and he was noted to be feverish at 38.2 °C.

There was no medical history of note and no history of unwell contacts.

Initial radiography of the right shoulder is shown in …

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  • Contributors DGS was the sole author of this report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.