A 69-year old woman with breast cancer – invasive carcinoma with apocrine differentiation (sentinel LN (-)) Focal mild uptake on right humerus head Do you think it is bone metastasis? or benign entities such as subcortical cystic change with marrow edema related to SSP/ISP tendinopathy ? If bone metastasis, first, then, how about the distal […]
Help plz, right humerus lesion Read More »
Thank you for your opinions 🙂 I got a new idea for diagnosis! Answers as follows: 1. Pachydermodactyly.X2 2. Soft tissue lesions are very unspecific. Should consider biopsy. 3. can be everything, even sarcoidosis Paper related to pachydermodactyly from Brandao doi.org/10.1155/2014/132854 19M-finger.pdf
responses to both finger lesions Read More »
Has a combination of ankylosing hyperostosis (DISH) and Ossification of the posterior longitudinal ligament (OPLL). Notice the anterior solid ankylosis by mature bridging syndesmophytes and an ossified anterior longitudinal ligament.. In the Japanese population, OPLL can be solitary. An association with DISH across all populations has been reported in up to 45%. Here’s an interesting
Cervical spine MRI 65 y/o Asian descent male with cervicalgia and weakness Read More »
Thanks for all your responses. So far everyone who responded agrees that this is not a fracture. There is no further imaging available at this point in time, I’ll keep you updated if the referrer decided to do follow up or further imaging. Foroogh Sent from my iPhone Begin forwarded message: > From: Bhumin Patel
Fwd: Fracture or not Read More »
Hi everyone 13 yr old male , hit with an ore. Would you call this a fracture ? Foroogh
Hi OCADERS, Just got the surgical feedback. This specific case was proven metallosis at surgery. Enclosed is original case, plus a proven case plus article. Thanks again to all. Happy Easter/Passover Regards Daniel From: Daniel Saddik Sent: Tuesday, February 16, 2021 9:35 PM To: ‘OCAD GOOGLE GROUPS’ Subject: case feedback europepmc.org/article/pmc/3303397 (copy and paste link)
Hi OCADers! For those doing MRIs of the temporomandibular joints, I’m curious as to how you do them. In particular, do you simply image open and closed, or do you image a whole spectrum in between i.e. with the mouth opened a few millimeters at a time (or clicks of the opening device) and the
Times we live in. 55 year old female with chronic shoulder pain. She has “ticks and fleas” in that she has adhesive capsulitis as well as calcific tendinitis. There is deltoid edema and the history said no recent injury. I have a good relationship with the rheumatologist and called to see if she has had
shoulder MRI inflammatory with extra finding Read More »
so only a few people weighed in. Some focused on the presence of bilateral AVN (that wasn’t the point of the case; please look at all the images).Everyone else was concerned about the focal lytic area in the posterior femoral head (leading suspicions: lymphoma, infection, osteoid osteoma). Update: Patient will be seeing orthopod for followup
Fw: Hip lesion stumper – need some input from the crowd Read More »
