OCAD

OCAD

45M with chronic worsening shoulder pain and clicking, MR arthrogram

There is articular and bursal fraying with intrasubstance bright PDFS signal proximal to the insertion of the mid-posterior supraspinatus tendon Contrast is imbibed into the tendon over the same segment, but does not extend into the bursa There is a chronic superior labral tear Same non insertional changes in the mid-posterior supraspinatus tendon There’s also […]

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Arthritis help

I was recently consulted by Rheumatology for a lupus patient with progressively worsening periarticular calcifications/swelling in the small joints of her hands. She does have nephritis but medications to treat her lupus have not stalled the progression of joint involvement. Aspiration of one of the joints showed a thick white paste- many WBCs, no crystals,

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Prostate MRI in 77M with probable prostate CA, incidental hip fingings

Apropos Atul’s case, I believe this case precedes any biopsy proof or treatment for his suspected prostate cancer.The prostate MRI was only 1-2 weeks ago….and the findings were incidental on the prostate MRI. The subsequent bilateral hip MRI adds nothing and appears no different. From Atul: I believe the differential between PMR and Adhesive Capsulitis

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