OCAD

Hi all, I was asked by our orthopedic oncologist for my opinion on this 54M with multiple bilateral masses of the face, axillae, neck and left periscapular region. There are also several marrow replacing lesions in the spine and both humeri. The patient first noticed these masses in January 2020. The masses are infiltrative in […]

Dear all, I am attaching a case (MRI and CT) of 35 year old men with painless swelling of the shoulder (LHB area) for about 7 months. The orthopedist asked for a rotator cuff tear. The patient had a shoulder ultrasound 2 years ago (…I do not have the images or the report !!!) of

A 69-year old woman with breast cancer – invasive carcinoma with apocrine differentiation (sentinel LN (-)) Focal mild uptake on right humerus head Do you think it is bone metastasis? or benign entities such as subcortical cystic change with marrow edema related to SSP/ISP tendinopathy ? If bone metastasis, first, then, how about the distal

Thank you for your opinions 🙂 I got a new idea for diagnosis! Answers as follows: 1. Pachydermodactyly.X2 2. Soft tissue lesions are very unspecific. Should consider biopsy. 3. can be everything, even sarcoidosis Paper related to pachydermodactyly from Brandao doi.org/10.1155/2014/132854 19M-finger.pdf

Thanks for all your responses. So far everyone who responded agrees that this is not a fracture. There is no further imaging available at this point in time, I’ll keep you updated if the referrer decided to do follow up or further imaging. Foroogh Sent from my iPhone Begin forwarded message: > From: Bhumin Patel

Hi OCADERS, Just got the surgical feedback. This specific case was proven metallosis at surgery. Enclosed is original case, plus a proven case plus article. Thanks again to all. Happy Easter/Passover Regards Daniel From: Daniel Saddik Sent: Tuesday, February 16, 2021 9:35 PM To: ‘OCAD GOOGLE GROUPS’ Subject: case feedback europepmc.org/article/pmc/3303397 (copy and paste link)

Hi OCADers! For those doing MRIs of the temporomandibular joints, I’m curious as to how you do them. In particular, do you simply image open and closed, or do you image a whole spectrum in between i.e. with the mouth opened a few millimeters at a time (or clicks of the opening device) and the

so only a few people weighed in.  Some focused on the presence of bilateral AVN (that wasn’t the point of the case; please look at all the images).Everyone else was concerned about the focal lytic area in the posterior femoral head (leading suspicions:  lymphoma, infection, osteoid osteoma). Update:  Patient will be seeing orthopod for followup