OCAD

OCAD

please help!homogeous sclerotic change in left femur

Hi dear friends, 50yrs male,left thigh pain for one year.Xray showed homogenous slerotic change in left femoral head,neck and upper diaphysis.On fs T2W and T1W left femoral head,neck and upper diaphysis showed homogeous dark signal,but on fs T2 MRI bright line signal was found in lateral femoral head and ischium. obvious soft tissue edema around femur.

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Fw: Quiz yourself!- Final answer

Hello, The answers sent across were- Infectious tenosynovitis Chronic flexor tenosynovitis Non-tuberculous mycobacterial tenosynovitis Pyogenic (suppurative) flexor tenosynovitis “Horseshoe synovitis” – possibly “horseshoe abscess” plus hamate edema Rheumatoid arthritis presenting with tenosynovitis Post intervention infectious tenosynovitis Some type of Mycobacterium Final answer is- Atypical mycobactrial infection post carpal tunnel release. Diag pearls- unilateral invol, flexor

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