Some help with this case appreciated. Of course the pt is a physician – aren’t the most interesting cases usually?! 39yo M with anterior knee pain…but marrow abnormal; repeated on the other side and findings symmetric. Further potentially relevant history of prior infection…further details and images attached. marrow-abnormality.pptx
Marrow abnormality Read More »
Dear OCADérs I remember seeing a similar post on OCAD previously but I cannot find it in the archives. Please help. 57 yr lady with breast carcinoma and melanoma being worked up. Staging CT scan performed. I don’t have any other history and I don’t know if she has neck symptoms. The mass is adjacent
Calcified Cervical Spine Mass Read More »
Routine CXR post CABG. Incidental finding with sclerotis band humeri and end plate vertebral bodies. Present but missed over 10 years!! Similat finding in hips on a 10 year old CT abdomen. I’m calling it adult (autosomal recessive) osteopetrosis. Any other thoughts?? RobJ Incidental-finding.pdf
incidental finding Read More »
Do you see ossification posteriorly on radiographs or T1W images? To me, it looks like there has been injury /repetitive injury to the capsule ligaments including the annular ligament. Whereas lateral epicondylitis is associated with the “backhand”, improper forehand technique (hitting the ball late and slightly behind the player in absence of full elbow extension)
OCAD: Elbow MRI – symptomatic plica? Read More »
Hi there, this is a 22 year old man who complains about elbow pain when playing tennis. I think I see a thickening and edema of the postero-lateral joint capsule, possibly with some minuscule calcifications or bleeding foci, although not quite like the “classic” plicae I have seen before. No other salient findings, also no
OCAD: Elbow MRI – symptomatic plica? Read More »
Dear ocaders, especially those doing CT guided bone biopsies, I have a question I did not find a satisfactory answer to and hoping to find some wisdom. When targeting a lesion in the ischial tuberositas of small caliber, say 10 mm, what is your approach? More specifically would you consider transversing the hamstring tendon insertion
biopsy ischial tuberosiy Read More »
This case was presented for interpretation yesterday. 16 yo M with ALL and pancytopenia. He presents for imaging secondary to “Acute and severe bilateral knee pain, question septic joint.” There are bone infarcts in the proximal right and left tibia which I called “non-acute”. Soon after I started to wonder if bone marrow edema could
Marrow edema like signal and pancytopenia Read More »
Hello dear ocaders! This is a patient that I know. She is a good physiotherapist and has lots of problems with her hips. She wrote: “I always have pain which radiates to the groin. I also feel pain in flexion and external rotation, as well as hip abduction”. First question: I don’t see Cam type
concernings regarding cam type FAI Read More »
Dear All, thanks everyone for the support. Below are the indications received: Subchondral cyst = 3 O.O. = 2 Traction changes = 1 Best regards Antonio > Inizio messaggio inoltrato: > > Da: RADAQ > Oggetto: HELP PLEASE! > Data: 4 marzo 2021 13:59:59 CET > A: OCAD MSK > > Dear all, > I
