Hello MSK-friends, 64 year old male with a subcutaneus soft-tissue tumor since years without pain. Hypervascular in Doppler-US. No contrast given in MRI, No X-ray available. Any ideas? Recommendations for additional imaging before biopsy? Thank you very much Chris OCAD_Soft-tissue-tumor.pptx
MRI to evaluate cuff tear, shows mild tendinosis and bursitis (not shown). I found a history of Sarcoidosis as part of the clinical history dictated for prior radiographs. What do you think these numerous rounded dark T1/Bright PFS marrow foci are? Sarcoid? Other? Would you recommend follow up? [1.jpg] [2.jpg] Hilary
consult: marrow signal changes Read More »
27 year old male presents with painless non-tender hard mass behind left knee medially. Past history of Bakers cyst- excised 2 years previously. On further digging, he presented at that time with a partially ruptured popliteal cyst. External MR images attached. Non contrast. No plain film/CT. Opinions please?? I think either synovial chondromatosis or organised
[1.jpg] So, not a gastroc strain. There is DVT of the intramuscular veins in the Soleus…which seems to be uncommon. My colleague referred to this as “Soleal Sinus Thrombosis”, which I’d never heard of. It seems that the fact that the soleal veins communicate with the posterior tibial rather than the popliteal vein might mean
53M 3months calf pain, suspected gastroc strain Read More »
Hi there, this is a 42 year old man with medial knee pain for several weeks. Explicitly denies trauma or any kind of trigger event. There’s this small osteochondral lesion with comparatively extensive bone marrow edema at the right femoral condyle. No meniscus pathology and no chondral defect. What’s going on here? Cheers, Andrei
What’s wrong with this knee? Read More »
Hi there, this is a 42 year old man with medial knee pain for several weeks. Explicitly denies trauma or any kind of trigger event. There’s this small osteochondral lesion with comparatively extensive bone marrow edema at the right femoral condyle. No meniscus pathology and no chondral defect. Andrei Dumitrescu
what’s wrong with this knee? Read More »
Hi All, I’m attaching a case in powerpoint, would appreciate any input as to what this might be, what further workup is appropriate etc. Thank you! Samuel coccyx-mri.pptx
Dear Folks, good Morning! Thanks for the interaction, as a newcomer I feel warmly welcomed. Thanks for the hints and insights, Dr Umans, Dr. Nunes, Dr. Sacco, Dr. Chhabra, Dr. Tarun, Dr. Lobo. Some observations: Dr. Umans, your article suggestion (Gorbachova) was very nice. [image.png] Dr. Sacco the deep portion of deltoid lig. is attenuated
High grade Spring Lig Sprain or… Read More »
