Initially fell with no fracture seen on xray, but (likely) incidental lucencies seen in radial and ulnar shafts. Follow up xray unchanged. Recommended MRI performed with images attached. Thoughts or ideas? Incidental nothing (vascular channels) or metabolic process? Thanks, Dan Forearm CasePDF.pdf
36M incidental finding after fall. Ideas? Read More »
Hi everyone I would appreciate your thoughts on this case. Middle aged man who underwent superior capsular reconstruction for massive cuff tear. There is a focal tear of the graft near the humeral attachment but interested to know what you would make of the fluid signal "cleft" at the glenoid attachment. It looks smooth but
Superior capsular reconstruction Read More »
Patient with herpes zoster, 72 years old, female. Healing left upper limb skin injuries; reduced strength/hyperesthesia / well perfused / loss of wrist/ finger extension movement – hand drooping. The brachial plexus nerves on the left are relatively poorly defined compared to the opposite side. Avneesh help me in this case: inflammation on left with
Brachial plexopathy Read More »
24M, old case from the personal file very old case from file 25M, bucket handle tear, in 2019, reduced in the current examination. Possibly healed? enostosis to show to be the same patient
Dear All, So far I got the following: – I believe this is CPPD of the spine. Definitely not tumor. – Reminds me a bit of Paget although posterior elements not grossly involved. Wondering if the bridging bone is an incidental relation. – DISH (inflammatory or fractured) or HDD of the longus colli tendon I
Cervical spine – responses Read More »
I would favor ulnar osteochondroma with associated ulnar shortening and pseudomadelungs based on cases I have seen previously at Scottish Rite. Molly Dempsey Great suggestion from Ingrid Kjellin below, thanks . Have obtained some further views (attached).Are appearances consistent with/ diagnostic of focal fibrocartilaginous dysplasia of the distal ulna? regards RobJ Hi, Could be focal
Dear OCADers, I am hoping to get your opinion on this case. 67 year old presenting with sudden onset neck pain with weakness of right arm and tingling bilaterally. Images show bony proliferation at C6-7 in the right paraspinal region. There is sclerosis and oedema of the adjacent vertebral bodies. There is further oedema in
I agree, but I would like to see a radiograph. Would also include ACT/CS1 in view of slight endosteal scalloping and slight peri-lesional edema. agree, I usually suggest, in these cases, imaging control in 6 months. Unfortunately, I think this has to be biopsied. Depending on other factors (size of the index tumors, sentinel lymph
Jerrold Mink shared this reference https://www.ajronline.org/doi/10.2214/AJR.10.4460 It’s a small series….but no benign notochordal rest enhanced, and all the chordomas did. I recommended a contrast exam. I’m hoping it doesn’t enhance. Then I guess I’d have to decide whether to follow it up in a year or two…. I’ll share the contrast images when she returns.
Coccyx lesion 39F MRI please help Read More »
