The scapula is a flat, triangular bone which forms the posterior aspect of the shoulder girdle, overlying the posterior chest wall 1 . While a “clasplike cranial margin of the scapula” has been previously described,2-3 to our knowledge, there was no previous description of a notch of the medial aspect of the superior border of the scapula in the literature. The imaging findings of a supero-medial scapula border notch mimicking a bone tumour are presented in this case report.