Responses were mixed, though a slight majority told me they would report it as enchondroma with no follow up recommendation.
A few were less confident
One recommended CT to assess depth of endosteal scalloping now
Others recommended f/u MRI in 6-12 months
Simply because I don’t want to be blinded by the acute trauma and overlook what I think is a bit more scalloping than I like (I don’t think it’s an artifact at the head/neck junction, it looks real in the Ax and Obl Ax plane) I reported it as an eccentric medullary chondroid lesion, likely enchondroma, though the degree of endosteal scalloping is indeterminate…..so I recommended follow up MRI in 1 year.
Is there a reference that will help me / us with lesions like this?
I couldn’t find one…but I think they exist.
Thanks.
Hilary
On Fri, Mar 22, 2024 at 12:09 PM hilary wrote:
He has an acute humeral avulsion of the IGHL
No Hill Sachs or Bankart lesion
I am asking about the subcortical lesion of the humeral metaphysis
I gather this is a chondroid lesion, but I wonder if there is too much endosteal scalloping to suggest questionable aggressivity?
What do you think / advise?
I’m waiting for your advice before I sign this off, please help!
