hilary.umans

hilary.umans

Child gymnast with 1.5 months heel pain, asked to assess Os Trigonum, MRI, Please Help

Several questions. Is it even possible to evaluate an Os Trigonum in an 8 year old? There is tremendous Posterior subtalar effusion…I cannot see the cause. I don’t see distention of the FHL tendon sheath, a low lying FHL muscle belly or thickening of the retrotalar pulley. Is this posterior ankle impingement? [image: 1.jpg] [image: […]

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Child gymnast with 1.5 months heel pain, asked to assess Os Trigonum, MRI, Please Help Read More »

MRI leg 13 year old chronic, migratory pain, not physically active, MRI and CT, Help Please

[image: 13M consult.jpg] The tech scanned the wrong leg…this leg used to be symptomatic–he is going to return for the right leg, which is currently symptomatic. But, there is intracortical bright T2 signal and both periosteal and endosteal edema in both the tibia and fibula, with no marrow infiltration. [image: 13M consult (1).jpg] [image: 13M

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MRI leg 13 year old chronic, migratory pain, not physically active, MRI and CT, Help Please Read More »

Shoulder MRI 17M Pitcher Clinical suspicion of Physitis, Opinion Please

[image: Pitcher suspect physitis 17M.jpg] There is marrow edema along the posterior humeral head, but it is not centered along the physis, which is starting to fuse. Note that there is adaptive remodeling of the posterosuperior glenoid rim and there is subtle increased signal undercutting the base of the posterosuperior labrum [image: Pitcher suspect physitis

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Shoulder MRI 17M Pitcher Clinical suspicion of Physitis, Opinion Please Read More »

Ankle MRI in a 26M 1 year post sprain with continued lateral ankle pain

I have not shown the scarred ATFL and longitudinal split tear of the peroneus brevis; they relate to the patient’s pain but are not interesting. There is medial pathology which, according to the referrer and patient, is asymptomatic. [image: axial.jpeg] I assumed there would be medial symptoms because there is moderate FHL tenosynovitis (there is

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SI joints 38M referred for evaluation of Ankylosing Spondylitis. MRI Please Help.

[image: MRI_1.jpg] [image: MRI_2.jpg] [image: MRI_3.jpg] [image: MRI_4.jpg] The Obl Cor images are anterior to posterior. Ax image shows the subchondral BME-like signal surrounds the mid to posterior inferior Rt SI joint. I don’t show it, but there is very ???? BME in a similar distribution on the left. Is this posterior distribution consistent with

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SI joints 38M referred for evaluation of Ankylosing Spondylitis. MRI Please Help. Read More »