What is the role of imaging in the workup of costochondritis?

Updated: Feb 19, 2020
  • Author: Lynn K Flowers, MD, MHA, ABAARM, FACEP; Chief Editor: Barry E Brenner, MD, PhD, FACEP  more...
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Answer

No specific laboratory or imaging studies exist for identifying costochondritis. The workup is directed toward excluding cardiac disorders and other causes of chest pain. The clinical scenario and the most likely differential diagnoses should guide the choice of tests, but an electrocardiogram and a chest radiograph are commonly ordered. [13] On bone scans, increased uptake at the costochondral junctions is not specific for costochondritis; however, bone scans can rule out stress fracture. [5, 14]


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