One final comment re this case. Bhavin commented: The classic definition of CNO is the 9-14 years age-range. But since CRMO, SAPHO are all in the end non-bacterial osteitis, it just makes sense to bring them all under the umbrella term and then assume that within CNO there are subtypes or different phenotypes. I guess […]
47M chronic left clavicle pain and swelling MRI, CT, TBBS Read More »
Hi OCAD, Good day to all. I would like to check what is the standard of practise for measurement of bone loss (best fit circle)? Is it by using (0.83 x D)- d or d/D x 100 = % (D is total horizontal measurement from anterior border to posterior border of glenoid. d is glenoid
Hello everyoneCould use some inputs into this case. The supraspinatus fibres seem to separate and close to the insertion with some fibres appearing to blend with the coraco-acromial ligament. Can’t see the usual aponeurotic expansion in relation to LHBT on axial images. Is this some other type of aponeurotic expansion? what to call this? Please
30 yr male with shoulder pain, need help with this strange looking supraspinatus tendon Read More »
Hi everyone. This is a 50 year old man, truck driver by occupation with chronic wrist pain. Thanks to everyone for the prompt response. The opinions were 1. Scapholunate dissociation with? DISI 2. Trisaphe arthritis with Grade 4 chondromalacia of Radioscaphoid joint. Once again thanks to everyone Regards, Dr Naseer VID-20240326-WA0003.mp4 VID-20240326-WA0001.mp4 VID-20240326-WA0000.mp4 VID-20240326-WA0002.mp4
Opinion for a case Read More »
Nice case – pre and postterapeutic aspect of a non hodgkin lymphoma. Extraosseous involvement very well seen. Question is regardin this rezidual osteonecrosis postchemoterapy. Any thoughts regarding this area? should something be done – like cement? DWI (not shown) is normalized, no extra osseous involvement posttreatment
non hodgking lymphoma pre and post-chemotherapy MRI Read More »
Thank you all for the answersthere was a convergence to CRMO—also called chronic nonbacterial osteomyelitis (CNO) there also a SAPHO opinion Funny thing is that today I had a new case, soo similar. The Universe is something interesting 🙂
almost consensus on clavicle case Read More »
Thanks, a few rapid responses in consensus agree that this is tendon xanthoma I see that the referrer has since ordered MRI of the hand….not that it makes sense, but we should get to see that, too. On Fri, Mar 29, 2024 at 11:45 AM hilary wrote: He was referred by a PA from an orthopedic
35M ankle MRI to evaluate mass, please help Read More »
Thanks everyone for their replies. One thought I should consider notochordal rest vs chordoma. Another suggested notochordal rest. One believed this was not a notochordal rest, and that hibernoma was most likely. One believed liposarcoma should be considered. Not exactly a strong consensus. In any case, I reported this as a nonaggressive lesion so we
unusual sacral lesion(s), incidental finding Read More »
This was a consult today from my colleague Jeremy Grubin, who did not agree with the referrer’s clinical diagnosis If you look proximally in this case the dark T1 soft tissue thickening in the 2nd webspace is indeterminate…you must look at both the long and short axis images to see if you can tell if
Webspace Neuroma vs Pseudoneuroma 61F DPM suspects 2nd Interspace Neuroma, MRI Read More »
