Hey !!! Hillary asked me to share this recent case of mine, very similar to the case she posted. The diagnosis of eosinophilic fasciitis was confirmed by the rheumatologist with a physical and laboratory examination. Treated with corticosteroids and good evolution. Kind regards. André Gomes.
EOSINOPHILIC FASCIITIS COMPANION CASE – ANDRE GOMES Read More »
Hello, Sorry for late response and thank you for all answers. There are the answers: primary muscle conditions (inclusion body myositis etc) muscular dystrophy Chronic myopathy, most probably juvenile (dermato?)myositis. Suspicious for myopathy/muscular dystrophy (duchennes can affect women and I believe presents later) Most common answer was juvenile dermatomyositis. All people advise to make a
10 year old girl with neuropathy Read More »
Hi ocaders, How do you describe this injury? This is a case of a 40 yo man who plays footvolley (a sport combining beach volleyball and soccer, originating in Rio de Janeiro, see the pictures attached). There is a complete detachment of the patellar tendon at the patella and a rupture with delamination of the
How do you describe this inury? 40yo man – plays footvolley Read More »
I found the reference I was alluding tohttps://journals.sagepub.com/doi/10.1177/2325967120904010 Baseline post op XRs….just to show this was more than 2 yrs ago There is a metallic interference screw in the femoral tunnel The ACL graft is intact and there is no meniscal tear or cartilage loss on today’s MRI (not shown) The only finding is marrow
30M post ACL graft > 2 years ago, 2 months pain, Knee MRI. Please help Read More »
Thanks to you 7 who replied! Most said subperiosteal hematoma (old). 1x periosteal chondroma (my 2nd DDx as well) 1x sessile osteochondroma Have a great weekend! Björn **EXTERNAL E-MAIL** Hi All! Funky looking lesion anterior femur in a trauma knee. Must be longstanding based on the X-ray appearance. Thoughts? Björn
subperiosteal lesion Read More »
Sharing a nice case from this week! Hx: 37-year-old male, avid cyclist (125+ miles per weekend), experiencing perineal pain, clinical suspicion for soft tissue mass vs. hamstring tendinopathy. MR Findings: Edema and scarring of the subcutaneous layer of bilateral perineal fat pads/medial proximal thighs, left greater than right, without significant contrast enhancement. Diagnosis: "Biker’s Saddle
I had signed out the report as consistent with either Morphea or Eosinophilic fasciitis I received many comments from people who either thought this was morphea (limited scleroderma) or suggested the DDx of Morphea vs Eosinophilic Fasciitis….as that is apparently the main differential. I’ve included highlights from an online reference about eosinophilic fasciitis. Summary Eosinophilic
64F forearm 1 month stiffness MRI please help Read More »
This is an asymptomatic comparison The medial sesamoid appears to be fractured / fragmented I was all set to diagnose Turf Toe…based on the widening of the medial and lateral sesamoid – phalanx distance (medial is 9-9.5 mm and lateral is 11-11.6mm), but it seems that the distance is bilaterally increased and pretty symmetric How
51M s/p MVA May 24 with suspected Rt sesamoid fracture, XRs both feet Read More »
Tatiane Cantarelli just shared these companion cases and comments (I have never reported elastofibroma in the subacromial region…perhaps I have missed it) Hi Hilary, I wanted to share one more case with you.This patient has bilateral peritrochanteric elastofibroma, but only has mild bursitis on the right side, which is where he reported pain. Interestingly, the
incidental trochanteric mass on Abd Pelvis CT 71M with Hip MRI Read More »
