OCAD

Hi there everyone, this is a 77 year old lady with chronic foot pain. The referring physician says she has CPPD. Doesn’t know about trauma. MRI shows marked osteoarthritis at the TMT joints, especially II-IV, with marrow edema and large cysts. Also possible insufficiency / stress reaction at the proximal 2nd and 3rd metatarsals. Alas,

Accessory muscle/tendon came across the PACS yesterday. Thought it was cool. Have a great weekend everyone! Phillip

Responses were mixed, though a slight majority told me they would report it as enchondroma with no follow up recommendation. A few were less confident One recommended CT to assess depth of endosteal scalloping now Others recommended f/u MRI in 6-12 months Simply because I don’t want to be blinded by the acute trauma and

Quick follow-up regarding the humeral greater tuberosity erosion case. Most responses favored calcific tendonitis/HADD vs infection. Due to some uncertainty, a CT-guided biopsy of the greater tuberosity erosion was performed and negative for infection or other etiology. In the end, this must be calcific tendonitis/HADD with exuberant erosion. As some mentioned, we probably caught the

I have received two helpful comments from Drs. Andrew Kingzett Taylor and Atul Taneja Actually, Andrew has been collecting very similar cases to the one I shared with longitudinal follow up. His experience is compelling and strongly suggests that this case is post-traumatic, but unlikely due to the injury date (the MRI was obtained only

Waiting on the contralateral knee…would lymphoma be a ddx?