ptirmanmd

Problem with hips. Small FOV imaging of the hips can miss extra articular pathology. The referrer asked for a hip exam which was done. We typically obtain 2 sequences bilaterally. The origin of it (I think) was to not miss bilateral disease like AVN. In this case, our astute tech came into the reading room […]

Increasing pain and weakness. R/O rotator cuff tear. Edema in the supraspinatus and infraspinatus with a touch of fatty atrophy especially of the infraspinatus. No tendon tear although arguably there could be a focal insertional strain. Other muscles look normal. What do the findings make you think of? A. Infection B. Sarcoma C. Acute/subacute denervation

Has a combination of ankylosing hyperostosis (DISH) and Ossification of the posterior longitudinal ligament (OPLL). Notice the anterior solid ankylosis by mature bridging syndesmophytes and an ossified anterior longitudinal ligament.. In the Japanese population, OPLL can be solitary. An association with DISH across all populations has been reported in up to 45%. Here’s an interesting

Times we live in. 55 year old female with chronic shoulder pain. She has “ticks and fleas” in that she has adhesive capsulitis as well as calcific tendinitis. There is deltoid edema and the history said no recent injury. I have a good relationship with the rheumatologist and called to see if she has had

What do you see? I’m showing it because while the labrum is abnormal on the preinjection axial and coronal images, it is difficult to say what exactly is abnormal about it until contrast is given and then when stressed with the ABER view there is a much clearer look at the labral abnormality. Whenever there

Not a very common injury. Patient describes twisting injury “putting weight on it while foot was caught in a hole on the side of a mountain”. What do you think was the primary mechanism? A. Internal rotation and valgus stress with axial loading. B. External rotation of the femur against a fixed tibia with valgus

ER doc is thinking infection. Luckily there was a 2 year old plain film in the patient’s folder. Nice example. When in doubt, think of … 2 year old plain film: [image: 77yo.jpg] Today’s non contrast CT [image: Slide2.JPG][image: Slide3.JPG][image: Slide4.JPG] [image: Slide1.JPG] [image: Slide5.JPG]

I have never seen this before so I thought I would share. 13 y/o female throwing injury with triceps pain. Lots of images because I wanted to show the whole injury. Throwing-injury13yo.ppt