OCAD

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.

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

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

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