Cases

74M smoker with hx of HTN and Kidney Problems (not specified) referered to evaluation posterior thigh mass, CT

[image: Thigh mass 74M 14474874R.jpg] [image: Thigh mass 74M 14474874R (2).jpg] [image: Thigh mass 74M 14474874R (1).jpg] There is an exophytic mass-like extension of the soft tissues of the posteromedial proximal thigh with obvious skin thickening and infiltration of the subcutaneous fat and ulceration at the caudal aspect of this mass which contains mature ossification.

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Fw: Strange COD #2 – BETTER LATE THAN NEVER

…..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

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Fw: Strange COD #2

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

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Fw: Strange COD #1

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:

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