Abstract: A 05-year-old male presented with abnormal fullness and swelling over the right scapula, with progressive right shoulder pain since 1 year. Limited overhead activities with the right shoulder. X-ray and CT scan: S/o approximately 4.8 (AP)X3.5(T)X5.39CC sized sessile cauliflower-like bone outgrowths with few osteolytic areas with fine trabeculation. Surgical Procedure: An extraperiosteal excisional biopsy was performed. Histopathologic examination revealed mature hyaline cartilage with perichondrium, suggestive of osteochondroma. Clinically and radiologically, no recurrence was detected at 1-year follow-up. Surgical removal of symptomatic osteochondroma of the scapula may result in a good clinical outcome.
