OCAD

OCAD

Subungual thumb masses

OCAD- I encountered these two subungual cases recently. Reminder for me to consider malignancies with subungual masses. First case is melanoma. Something I learned was that subungual melanomas are often amelanotic (this case was indeed amelanotic on histopathology). Therefore, you may not see the classic imaging characteristics of melanin (ie T1 hyperintensity). There is also

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11F softball pitcher with pain since this Summer Humeral lesion XR, MRI Please Help

I received two after hours responses raising concern that this could be an early osteosarcoma, urging close clinical and imaging follow up.I was advised that clinical details would be important….to know when the XRs were obtained and whether the child has been actively engaged in sports or not in recent weeks . The XRs were

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