OCAD

F38, chronic wrist pain. There’s negative ulnar variance with ulnar (ulnoradial) impingement and initial DRUJ osteoarthritis. TFCC roughly intact. No Kienböck. Incidental ganglion cysts. Cheers, Andrei

Hello, The answers were -hemochromatosisx2 -cppdx3 -SOAC-1 -Gout-1 Congratulations to Dr. Ryan Foster. I personally thought of CPPD due to b/l SLAC, ill-defined erosion of 2nd MC, and old age. Collection of fluid was unusual. Retrospectively, the echogenic foci are on top of the cartilage. Aspiration syringe is shown- MSU was confirmed on crystal eval

Someone outside called avn Ortho not sure- for the right reason SIFx enchondroma- OT-RADS II Anterosup and suprolar labral tears Avneesh Chhabra, M.D. M.B.A. Professor Radiology & Orthopedic Surgery Chief, Division of Musculoskeletal Radiology UT Southwestern Medical Center, Dallas, Tx 5373 Harry Hines Blvd. Dallas, Tx-75390-9178 Office: 214-648-2122 avneesh.chhabra@utsouthwestern.edu www.utsouthwestern.edu​ ________________________________ UT Southwestern Medical Center

Fat necrosis Avneesh Chhabra, M.D. M.B.A. Professor Radiology & Orthopedic Surgery Chief, Division of Musculoskeletal Radiology UT Southwestern Medical Center, Dallas, Tx 5373 Harry Hines Blvd. Dallas, Tx-75390-9178 Office: 214-648-2122 avneesh.chhabra@utsouthwestern.edu www.utsouthwestern.edu​ ________________________________ UT Southwestern Medical Center The future of medicine, today.

Wisdom tooth should be left alone to keep people wise! Lingual nerve Sunderland class IV /near V injury of the left lingual nerve. left IAN thickening is reactionary NS-RADS: Nerve: I4 – Injury Sunderland class 4/near V, Muscle: M0 – Normal Avneesh Chhabra, M.D. M.B.A. Professor Radiology & Orthopedic Surgery Chief, Division of Musculoskeletal Radiology

MRN with 3D imaging can show these nerves better But, this is the best I could see from patient’s c-spine studies See these two articles for more knowledge Hwang L, Dessouky R, Xi Y, Amirlak B, Chhabra A. MR Neurography of Greater Occipital Nerve Neuropathy: Initial Experience in Patients with Migraine. AJNR Am J Neuroradiol.

And the ans. is NS-RADS PI3-M2 definitely worsening neuropathy post-intervention – muscle denervation edema and mild atrophy The injury is I4- nearly I5 like near amputation of finger Congratulations Dr Taneja, Dr Susie Mier, and Dr Singer! I also added I4/nearly I5 to the score Last time I mentioned similar for a lingual nerve- surgeon