Cases

to inject and ablate trigeminal nerves enjoy- positive on left Best! AC Avneesh Chhabra, M.D. M.B.A. Professor, Radiology & Orthopedic Surgery Chief, Musculoskeletal Radiology Department of Radiology 5323 Harry Hines, Blvd. Dallas, Tx-75390-9316 Office: 214-648-2122 www.utsouthwestern.edu/radiology ________________________________ UT Southwestern Medical Center The future of medicine, today.

Hi all, this is an elderly patient with a left knee arthroplasty (several years old) and a distal pretibial leg ulcer at the distal calf. CT done to rule out bone involvement at the leg ulcer showed lytic bone changes at the tibial prosthesis with a medial cortical defect. MR shows basically the same, the

2022 images [image: cor 1.JPG] [image: sag 1.JPG] 2020 images [image: cor 2.JPG] [image: sag 2.JPG] not understanding what is going on in the humerus. NO prior surgery or other intervention. Pt had HADD which has resolved..no mention of surgery.

There is no patella alta or patellar subluxation. Femoral trochlea looks a bit shallow, but there is no chondromalacia and MPFL is normal. The Knee was positioned in approx 20 degrees flexion and I measured TT-TG of 13.6mm which is close to normal range. [image: 28F referred for PF syndrome.jpg] I’m wondering what this linear

[image: XRs_1.jpg] [image: XRs_2.jpg] [image: XRs_3.jpg] Are these normal developmental areas of irregular ossification at both medial femoral condyles? Based on the Radsource reference radsource.us/developmental-variants/ it seems those are more commonly lateral, and typically more posterior. Bilaterality makes me think it’s probably normal, but I don’t see kids’ knees enough to be sure. (I see

[image: 17F leg consult.jpg] US done by orthopedist in office (no images captured) reported “anechoic area”. Was referred a few weeks later for guided aspiration, but US appearance (no images) looked complex, so there was no aspiration—sent for this MRI instead. [image: 17F leg consult (1).jpg] These are open 1.2T MR images, FYI [image: 17F