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Subchondral Collapse/AVN in Transplant Patient

Imaging findings

Bilateral subchondral collapse of the humeral heads consistent with avascular necrosis (AVN).

Key takeaways

When observing "arms down" positioning on a chest CT, always investigate the reason, as it can be a vital clue to underlying pathology such as AVN or trauma, particularly in patients on long-term immunosuppression.

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