ptirmanmd

Thanks so much for the replies Drs, Brandao, Umans, Guil, Staewen, Crnkovich, Åström, and Jobke. Universally agreed that it is RA (including by me). This femoral diaphyseal medullary lesion is what scared me and made me think initially that it might be a potential malignancy. [image: RA.jpg] Drs. Åström and Staewen gave me the following […]

29 y/o presents with severe knee pain getting worse. Can’t weight bear. No additional history. Sent a text to referring looking for additional clinical information. He was on vacation and he had his assisstant call me. He said does it make a difference if this patient has “very poorly controlled rheumatoid arthritis?’ Uh yes, it

Interesting. Has an acute Bankart and on the ABER he is subluxed in the magnet! (PD FS axial and coronal show acuity). Also has a chronic posterior labrum tear (T1 axial images show it). Makes sense, sometimes wrestling holds will result in flexion of the arm in front of the chest (position of risk for

Grabbed an opponent’s jersey during a football playoff game. 1. What structure is damaged? a. A1 pulley b. FDS tendon c. FDP tendon d. Middle phalanx e. psoas tendon 2. Injury is known as: a. Jersey finger b. Mallet finger c. Swan neck deformity d. Jammed finger e. cecal volvulus 3. What classification? a. Type

Thanks for everyone that responded. I reported this as probable intraosseous HADD which I have never seen in this spot but as Mark Awh said, It can be anywhere. So in this case possible AC joint calcific periarthritis with intraosseous HADD. My nephew Philippe Tirman, a radiologist, and I tried to write up intraosseous exytension

History provided: 55 y/o male s/p mountain bike injury 20 years ago. on and off pain. Treated with physical therapy on and off. Normal X rays. Recent exacerbation of pain. R/O impingement. I reported it as something that I have never reported at the AC joint, only the shoulder joint. Without saying what I think

When I was a “bouncing off the walls” little kid and started to tell a story, my dad (a university Radiologist) used to say, “Start near the end Phillip”. With that in mind, I want to ask you to consider a donation to keep the great functionality of OCAD going and growing. We are based

Multiple dislocations. I think either a chronic ALPSA or Bankart lesion with a bankart fracture resulting in glenoid bone loss. I typically report: Bankart lesion with medial displacement and inferior shifting (ALPSA) if I think it is. Most surgeons just want to see bankart in the report if present. Also posterior and biceps anchor detachments

From Avneesh. Good points. I havent seen a tendon tear before andhave read 10s of 1000s of neck MRIs. I dont know if its torn. Axials are better. Atrophy- yes positive. I figure it must be partial tearing because she has decent forward translation clinically and on open mouth positioning and the condylar fovea does