OCAD

I received several responses….From Lucas Da Gama Lobo, I found this most detailed and useful:I think this is ALTR. I understand ATLR is an umbrella term encompassing a variety of immune mediated reactions to metal wear debris in patients with arthroplasties, commonly those incorporating a metal on metal bearing, though an identical reaction can occur […]

The subtraction was corrupted by slight misregistration, there may be minimal enhancement? No mention of this is available history, in 2012 he had hilar and mediastinal lymphadenopathy, DDx of sarcoid and lymphoma was reported….I have no follow up….though the fact that he volunteered a history of Prostate Ca argues against a history of another malignancy

Hi Ocader´s. What a coincidence to report this case today! Man, 23 years old, works with a computer and musician (piano player). I recalled this patient to obtain the wrist supination sequences, due to the last case! And in this case we observed a more evident palmar luxation of ECU, characterizing a rupture of the

Xray and US for DVT read as negative at time of injury No other medical history; no meds MRI 10 days later One possible area of restricted diffusion. o/w negative diffusion. What say you about the marrow? Has meniscal and chondral changes; large Bakers cyst and fluid into the calf as well. Best, Frank

Andrei pointed out what I tried to express….though I think my response was not clear in the summary.In the static Ax image with supination, the degree of ECU subluxation remains stable…I would have expected it to increase in that position. Like Andrei, I wonder if the subsheath is partially torn or stretched. I do wonder

15 y/o knee pain after soccer injury; Patellar dislocation. Xray done for same. I read it out as a sessile osteochondroma with cap/continuous with marrow space/ no aggressive features. To paraphrase Phil Tirman, " It sees me, but I may not have seen it." Don’t remember seeing a layered or laminated appearance of the marrow

Male, 34 years old, semi-professional tennis player.Disabling pain on the ulnar edge of the wrist, making it impossible to play tennis.Tendinopathy and marked tenosynovitis of the extensor carpi ulnaris with slight subluxation.Signs of subsheath injury (yellow arrows) deep to the extensor retinaculum.Anyone with experience in this diagnosis? Other ideas? For portuguese-speaking radiologists, how can we translate subsheath?

Solid mass present for 8 yrs.  Most likely benign. Has anyone seen this before?