OCAD

This was a consult today from my colleague Jeremy Grubin, who did not agree with the referrer’s clinical diagnosis If you look proximally in this case the dark T1 soft tissue thickening in the 2nd webspace is indeterminate…you must look at both the long and short axis images to see if you can tell if […]

Hi there everyone, this is a 77 year old lady with chronic foot pain. The referring physician says she has CPPD. Doesn’t know about trauma. MRI shows marked osteoarthritis at the TMT joints, especially II-IV, with marrow edema and large cysts. Also possible insufficiency / stress reaction at the proximal 2nd and 3rd metatarsals. Alas,

Accessory muscle/tendon came across the PACS yesterday. Thought it was cool. Have a great weekend everyone! Phillip

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

Quick follow-up regarding the humeral greater tuberosity erosion case. Most responses favored calcific tendonitis/HADD vs infection. Due to some uncertainty, a CT-guided biopsy of the greater tuberosity erosion was performed and negative for infection or other etiology. In the end, this must be calcific tendonitis/HADD with exuberant erosion. As some mentioned, we probably caught the

I have received two helpful comments from Drs. Andrew Kingzett Taylor and Atul Taneja Actually, Andrew has been collecting very similar cases to the one I shared with longitudinal follow up. His experience is compelling and strongly suggests that this case is post-traumatic, but unlikely due to the injury date (the MRI was obtained only