multiple bone lesions
Hi there! First time posting to OCAD. 64 year old woman, incidentally found pelvic lesions. I’m attaching a powerpoint. Please help! Thanks, Jessica Pelz polyostotic-lesions-pelvis.pptx
multiple bone lesions Read More »
(OCAD) Wrist MRI TFCC and radioulnar lig changes
Hi there, M34, reports sudden pain 3 months ago tightening some large screws, imaged for persistent pain. The ulnar attachments of the radioulnar ligaments look edematous to me. There are some edematous and cystic changes also at the ulnar TFCC attachment. There’s no frank ligament or TFCC rupture. Centrally thin TFCC probably unrelated to his
(OCAD) Wrist MRI TFCC and radioulnar lig changes Read More »
please help！homogeous sclerotic change in left femur
Hi dear friends， 50yrs male，left thigh pain for one year.Xray showed homogenous slerotic change in left femoral head，neck and upper diaphysis.On fs T2W and T1W left femoral head，neck and upper diaphysis showed homogeous dark signal，but on fs T2 MRI bright line signal was found in lateral femoral head and ischium. obvious soft tissue edema around femur.
please help！homogeous sclerotic change in left femur Read More »
(OCAD) Spondylophyte fracture – relevant? (CT)
F65 referred for deep back pain with elevated D-dimer. No pulmonary embolism, aortic dissection, pneumonia, tumor or pleural effusion. There’s this fractured osteophyte at Th10/11. Looks chronic to me. Sometimes I see this but never really thought about the relevance. Do you think it could be a probable pain generator? Thanks, and have a good
(OCAD) Spondylophyte fracture – relevant? (CT) Read More »
mixed litic and osteosclerosing tibial tumor – CT and MRI
Hi, dear OCADERS, Any idea about this tumor in a 14y old female? Stationary in size in the last 6 month Well defined, sclerosing margins, I would say OTRADS II, but I worry about the intense heterogeneity inside. And also there is sort of a lipomatous halo around the tumor visible in T1 and T2
mixed litic and osteosclerosing tibial tumor – CT and MRI Read More »
please help！a slerotic lesion in left femoral marrow
Hi，dear friends， 56yr female，a slecotic lesion with multiple circuitous low density foci in left femoral marrow cavity. need your opinion.Thanks！ Xianjing 发自我的iPhone
please help！a slerotic lesion in left femoral marrow Read More »
Fw: Quiz yourself!- Final answer
Hello, The answers sent across were- Infectious tenosynovitis Chronic flexor tenosynovitis Non-tuberculous mycobacterial tenosynovitis Pyogenic (suppurative) flexor tenosynovitis “Horseshoe synovitis” – possibly “horseshoe abscess” plus hamate edema Rheumatoid arthritis presenting with tenosynovitis Post intervention infectious tenosynovitis Some type of Mycobacterium Final answer is- Atypical mycobactrial infection post carpal tunnel release. Diag pearls- unilateral invol, flexor
Fw: Quiz yourself!- Final answer Read More »
superficial mass at the finger
Hi. 50 yo pat. with mass at the thumb. Nice Gd uptake. The localiser (GRE) doesn’t show signal drop. Not so sure about the T2w. Any thoughts? Thanks. Have a good weekend. Björn
superficial mass at the finger Read More »