Can’t say I have a totally definitive answer, but so far it seems like signs are pointing to… syphilis! In general looking like it’s likely on the infectious spectrum. Wild look, so symmetric bilaterally! Thanks for all the input everyone! In no particular order some ideas thrown out there: – Sarcoid – Hypertrophic pulmonary osteoarthropathy […]
Help with weird hand case? Read More »
59 y/o male. The patient relates a history of “injury at work” and the worker’s comp doctor said “medial epicondylitis and arthritis.The UCL is mostly ossified and I think it looks like a giant chronic valgus traction spur. Also heterotopic ossification next to it. The PDFS coronal looks like someone flexing their biceps. Any comments
Chronic elbow injury. Read More »
To be continued …. Many thanks to everyone who responded. Several possibilities were interrogated. Attached are CT images of the left shoulder. As the lesion is bilateral, the case is quite enigmatic. OCADER´S RESPONSES: 1. Malformed vascular/venous structures?). 2. Possibly Gotham’s disease? (Would it be Gorham´s disease?). 3. Agree, the tubular pattern and T1 intrinsic
HELP WITH A SHOULDER CASE – CT IMAGES Read More »
Here are the responses: cartilaginous colum, that is to say focal enchondromatosis 2x enostoma Benign appearing sclerotic focus 3x bone island Bony striation focal osteopathia striata Majority is in favor of an osteogenic entity. I initially tended toward an old cartilage column with peripheral sclerosis. Certainly benign. Once again interesting to see the diversity of
incidental sclerosis femoral metaphysis Read More »
The annual Advanced MRI meeting in Graz Austria to be held May 3-6 is just around the corner and is held in person on site as well as online as streaming lectures. Check it out here. https://www.advancedmri.eu I asked permission of the other administrators of OCAD to send this. I don’t want people to post
Advanced MRI Graz Austria Read More »
Dear All, May I ask your opinion on a child with bilateral femoral sclerosis presented with chronic and intermittent extreme pain in the thighs? I’m thinking of bilateral intramedullary sclerosis, Chronic sclerotic osteitis, or SAPHO. The child has now skin manifestations. Please find the attached file. Regards, Talaat Child with Bilateral femoral sclerosis.pdf
Child with bilateral femoral sclerosis Read More »
Thanks a lot for the answers. unanimity that synovial effusion in the bicipital sheath is a nonspecific finding. The responses received are below: Ciro NON specific at all just fluid in the articular space like anywhere in the joint in our ultrasound, or MR templates, we only say small amount of fluid, mild distention, moderate
Long head of the biceps tenosynovitis Read More »
30 yo M. Both bone forearm fracture 8 years ago. Volar radial plate fixation. Struggling with hand paresthesias and symptoms over surgical site since. He has a large persistent median artery without bifid nerve. The persistent median artery is just as large as the radial artery. I’ve certainly seen persistent median arteries, but most often
Large persistent median artery: Incidental observation or clinically significant? Read More »
Hi, I think that’s very specific. You should consider all features about tenosynovitis, i am performing that everyday. Good luck Dr Gaceb Hi, Ciro. I do a fair amount of US work. I agree this is nonspecific and often a reflection only of glenohumeral joint effusion. The vincula often adds to the confusion. I only
Re :Re: Long head of the biceps tenosynovitis Read More »
