Iselin disease?
Just says pain with standing for 2 days 8yo F
Shoulder MRI with 3D and cute findings!
So an interesting case again.. Heel spur- do you report- must- as it indicates full-thickness tear So tear is not unusual Notice bursal rupture- do u report- should- as it indicates fall- I published 10 yrs ago on it. Often history is only pain as in this case. Also note- blood clots- do you report-
Shoulder MRI with 3D and cute findings! Read More »
Mass help
I’d be concerned that it’s a soft tissue sarcoma. A case from a colleague… 21 YOM with calf pain. No phlebolith on xr. His question was would you be comfortable calling this a hemangioma, and if so would you recommend further workup / followup? Or… would you entertain soft tissue sarcoma in ddx here? Thanks!
49M 4th toe swelling + discomfort x 1 year, XR and MRI. Please Help.
Dr. Amini also suggested extra peritoneal desmoid…..which I have seen in the forefoot and can look very similar—though the case I saw didn’t destroy bone at the time I imaged the patient. I have a call into the podiatrist and will try to make sure the patient gets to an orthopedic oncologist and gets biopsied.
49M 4th toe swelling + discomfort x 1 year, XR and MRI. Please Help. Read More »
Is this a bipartite scaphoid?
I agree it is a bipartite scaphoid On Sat, Apr 1, 2023, 4:51 AM Byron Oram <byron. wrote: I can’t add any pearls and would tend to agree it’s an old fracture. Perhaps an MRI would be useful here – if it’s a true bipartite then should expect a clean and uniform synchondrosis and no
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enjoy syn chondromatosis
Dr. Chaabra’s nice cases inspired me to share an unusual case of synovial chondromatosis I had recently. Pancarpal synovial chondromatosis involving radiocarpal, DRUJ, midcarpal, and CMC joints. Various degrees of ossification, from purely cartilaginous to mature. Mass effect on carpal tunnel, patient presented with carpal tunnel syndrome and wrist deformity. Areas of extrinsic erosion. Subsequent
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Post procedural infarct from tourniquet, or could this be osteomyelitis?
Labs included in the first slide. This is the second case I have seen in the past two months. Why is the signal abnormality in the marrow so "geographic" / well-defined? Thank you! Unknown BME OSteo v infacrt.pdf
Post procedural infarct from tourniquet, or could this be osteomyelitis? Read More »
distal femoral lesion in 13M
several replies to the case below, mostly invoking some sort of chondroid lesion. Best reply was from Mark Murphey: "Believe this is an intracortical chondroma (exchondroma) as I spoke about at SSR this year. Tongue superiorly on lateral radiograph great for jntracortical location as is signal and largely peripheral enhancement." (italics and bold mine) Point
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Bilateral intraosseous fat-containing lesions
Have a weird case and would appreciate any help. 30 something year old man with ESRD on dialysis presents with bilateral quad tendon tears after fall. Incidentally seen within the subchondral bone of the bilateral lateral tibial plateaus are these fat-filled lesions with central T1 iso to hypointense signal and central PD FS hyperintense signal.
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