OCAD
67M, pain, fall a year ago Degenerative disc disease (erosive osteoarthritis). Insufficiency fractures and bone remodeling of vertebral bodies. traumatic sequelae at T12. agree?
67M, pain, fall a year ago Degenerative disc disease (erosive osteoarthritis). Insufficiency fractures and bone remodeling of vertebral bodies. traumatic sequelae at T12. agree?
Dear OCAD, I need help with the diagnosis of this: 57yo F with soft tissue mass palpable near the basis of 5th metatarsal, since 3 months. US: hypoechogenous solid mass, no Doppler inside, little bit of posterior wall enhancement. No calcification. There is something which could look like a punctum… But I’ve had experiences and
thank you very much for the answers: – met until proven otherwise – ct guided biopsy – ot rads 3 possibly benign like hemangioma f/up male, 63 yo, no known malignancyOTRADS? please help
incidental femoral lesion Read More »
Many thanks to everyone who replied to me. The answers are: Synovial osteochondromatosis Consider synovial osteochondromatosis with enhancing chondroid portion. Soft tissue chondroma, calcified paralabral cyst. It looks too “mass-like” for calcific periarthritis. The cases of this I’ve seen of CP have hypoechoic and punctuate calcific foci surrounded by ill defined T2 hyperintensity. I would
OCAD – Opinion please Read More »
Referred by a podiatrist who was looking for cuneocuboid degenerative joint disease or fracture, and indicated clinical symptoms of sinus tarsi syndrome.I have no other imaging….podiatrists often do their own XRs, but I don’t have them. There is an obvious mineralized eccentric lesion thinning and expanding the medial cortex of the cuboid (there might be
29M 2 years worsening lateral midfoot pain, CT, I have a question Read More »
Dear OCAD- I’m seeking guidance, recommendations, or other observations regarding rapid KV-switching single-source DECT for gout imaging. We have a GE Revolution Apex rapid KV-switching DECT at our institution and have started doing gout imaging. However, I’ve questioned its accuracy. Specifically, I have noticed frequent green encoded pixelation (or what’s considered MSU crystals) within tendons.
Rapid KV-switching DECT for Gout Read More »
Correction for my case, there is no apparent restricted diffusion. Thank you for the help, Bradley Hey everyone, Happy Friday. Have a case of a growing left thigh mass in a 67 y.o. male without any prior imaging available. Reported to have been incidentally found on a CTA for claudication January 2022, which has recently
Growing Thigh Mass (67y.o. M) MRI, please help Read More »
Thanks for the several comments….which seem to represent a wide gamut of thoughts! One person suggested lipoma and found a reported case that looked similar. A few considered Pagets, but dispensed with the thought given the absence of cortical thickening. There is marked cortical thinning with modest bone expansion. A few mentioned possible post RTx
79F fell 1 week ago, CT ordered to evaluate possible Hip fracture Read More »