BMJ 2008; 337 doi: http://dx.doi.org/10.1136/bmj.a898 (Published 23 July 2008) Cite this as: BMJ 2008;337:a898
  1. Nada Hassan, specialist registrar, rheumatology and general medicine,
  2. Karl Gaffney, consultant rheumatologist
  1. 1Norfolk and Norwich Hospital, Norwich NR4 7UY
  1. nadowia{at}hotmail.com

    A 62 year old woman presented with pain in the upper left of her chest. She had had breast cancer 11 years …

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