Thank you all for your helpful responses. There was no history of trauma or a bleeding disorder. She just presented with leg length discrepancy. I have no other helpful clues. The most common answer I have received was a subperiosteal hematoma. One response included a “subperiosteal ganglion”. Another one also mentioned a subperiosteal osteosarcoma. A […]
Cortical lesion in a 14-year old female Read More »
As someone still early in training, I found this case particularly fascinating, especially the longitudinal tear pattern of the volar plate without avulsion. Would it be reasonable to consider that this might represent a chronic repetitive stress-related injury, even in the absence of pulley involvement? I’m also curious how often such tears might be overlooked
56F with pain over the thumb MCP UCL and A1 pulley MRI Read More »
Left Shoulder Pt complains of bilateral shoulder pain with weakness, tingling and limited range of motion. On the Left there is very mild insertional tendinosis without tear of the supraspinatus. I suspect there was remote, limited subacromial decompression…there are no surgical anchor tracts. On the Right there is AC DJD with periarticular edema, Supra and
41M work injury not specified 2010 and surgery 2011 MRI please help Read More »
Jenny wrote: The location is typical for erosive change due to synovitis-related thickening of the medial neck plica, aka pectinofoveal fold. There is evidence of joint effusion and synovitis likely reactive to stage 3 AVN. I have seen the thickened plica, but never secondary erosion of the femoral neck. It makes sense. I really appreciate
34 African American F 3 months hip and groin pain, MRI, please help Read More »
M22, reports trauma at the forefoot involving the 5th toe about 5 years ago. Xrayed back then, ruled out fx, no further imaging. Subsequently noticed slightly painful mass at the 5th toe. Imaged again now (xray, MRI) to r/o malignancy and in view of a planned excision. The lesion hasn’t significantly grown since. Xrays unchanged.
OCAD Soft tissue lesion at the 5th toe (XR , MR) Read More »
Diagnosis: OCAD One Shot One Kill Yours, Kyung OCAD_OSOK A.ppt
Diagnosis OCAD One Shot One Kill Read More »
I would love to know the location of the ITband injection! I would not put it past a new doc injecting to the cortex of the bone there! Thank you to Rob for responding. He suggested that the constellation of findings might suggest an osteoid osteoma…..despite the fact that the patient is 36, it is
36M 5 months pain Recent ITB steroid injection MRI Please help Read More »
Patient came back for CT and it was read out as mixed syndrome (not by me but a very respected MSK radiologist).. On Tue, May 20, 2025 at 10:00 AM Phillip Tirman MD <ptirmanmd> wrote: 2nd case of the morning. I looked at the muscles expecting a strain or tendon tear and they looked normal. Then
