Hello, 3D is essential for any joint, believe it or not. 2D just doesn’t cut it for us. Case in point- you have papers showing 90% accuracy for labral tears- if you do 3D of hip- rarely, there is no labral tear. With compressed sense- 3D is 3 minutes acquisition isotropic for knee and 4 […]
MR arthrogram: what sequences do you use? Read More »
Hello! Today we had a patient who kept his appointment for shoulder arthrogram despite the ongoing tornado sirens and stormy weather here. The arthrogram was easy, no complaints. Then the resident and I got a call from MR that the pt did not think he could sit in the scanner for the rest of the
MR arthrogram: what sequences do you use? Read More »
Dear all Please help. Thanks in advance Kind regards Colin Facial-Swelling-41F.pptx
Facial Swelling 41yr F Read More »
Hi all Having recently acquired new scanners, we updated our MSK protocols and in so doing incorporated a lot of Dixon sequences in place of conventional PDFS (eg 3 planes Dixon PD in the knee). My reason for incorporating them was to have the ‘free’ FS and non-FS together and, in one of the planes,
Place of DIXON in current protocols Read More »
…..So after I sent out this summary, I got two very wise responses from Brad Piatt and Angela Atinga, both suggesting a mild/delayed onset form of homocystinuria!Based on preliminary Googling, this very well might explain all the findings. Brad even sent this helpful article www.ncbi.nlm.nih.gov/pmc/articles/PMC5786652/ I will have to circle back and find out about
Fw: Strange COD #2 – BETTER LATE THAN NEVER Read More »
Got even fewer responses on this one.No one could tie the skeletal findings (fish vertebrae and multiple infarcts in sternum and ribs) with the aortic root dilation. “Not sickle cell””Maybe sickle cell””Sickle trait?”mucopolysaccharidosisidiopathic osteoporosis of pregnancy —– Forwarded Message —– From: ‘Sonin Andrew’ via OCAD MSK To: OCAD Sent: Friday, April 1, 2022, 10:02:35 AM
Fw: Strange COD #2 Read More »
got a smattering of responses on this one: Gout: 3CPPD: 2Scleroderma: 2 Lynn Steinbach sent a particularly compelling example of CPPD of the spine that looks almost identical to my case.Unfortunately, unless they do surgical decompression, we may never know…. Andy Sonin —– Forwarded Message —– From: ‘Sonin Andrew’ via OCAD MSK To: OCAD Sent:
Fw: Strange COD #1 Read More »
yes, I’m fully aware that “OCAD” stands for “One Case a Day” but since I only send less than 1 case a month I figure I’ve built credit. And no, this isn’t an April Fool’s joke. This is a 40F with preeclampsia. Sent to me for consult, as vertebral bodies “look funny”. Patient has name
49F with no relevant medical history other than severe “myelopathy” with L hand numbness. Extensive soft tissue calcification in what looks like synovium at C3-4 on the R and bilat at C7-T1. no erosions. Looks more like HADD than anything. Normal renal fxn, etc. Patient is a smoker. Thoughts? synovial-calcifications-in-C-spine.pptx
