Cases

Subtalar MRI, Help Please

[image: 1.jpg][image: 2.jpg] [image: 3.jpg] [image: 4.jpg] This is a 31M with chronic pain. DPM asked to “rule out accessory navicular”. I suppose he saw a radiographic abnormality, but I don’t have XR to review. Is this some bizarre form of a non-osseous coalition? The irregular ossification is interposed between the superomedial and inferoplantar longitudinal […]

Loading

Subtalar MRI, Help Please Read More »

Shoulder MRI 59M rotator cuff repair 5 years ago, 6 months pain

[image: 1.jpg] [image: 2.jpg] [image: 3.jpg] [image: 4.jpg] It seems only the anterior supraspinatus tendon is intact. The remainder is torn and markedly retracted, but takes a fantastic voyage….scarring onto a chronic “Novel” lesion of the Infraspinatus (a tear of the Infraspinatus myotendinous junction). If you follow the arrows in the BLO (ax obl) series,

Loading

Shoulder MRI 59M rotator cuff repair 5 years ago, 6 months pain Read More »

Responses to posterior MTP erosive lesion

Thank you so much for your opinions 🙂 Here are the responses: 1) calcific tendinopathy, also consider gout – CT to confirm calcification (or ultrasound), DECT could potentially differentiate 2) insertional semimenbranosus (nonspecific) tendinopathy x2 3) calcification tendinopathy or calcification periarthritis – experience of a few cases of gout show up like this around the

Loading

Responses to posterior MTP erosive lesion Read More »

thoughts

Case from St. Elsewhere sent for review 25 y/o with headache for 4 years. I’m thinking chondroid lesion, hemangioma, fibrous dysplasia, ….. Ct may show cortical break through anteriorly; needs to see a skull base surgeon; my concern is low grade condrosarc. Best, Frank

Loading

thoughts Read More »

case feedback

europepmc.org/article/pmc/3303397 (copy and paste link) Dear all, Please see case again (attatched). ~ 10 responses. 2 CPPD (an exuberant form) 2 synovial osteochondromatosis 4 Metallosis Images/ articles attatched are all proven metallosis. Thanks a lot to everyone who responded! It is greatly appreciated Presumably patient will have surgery. I’ll try to let you know what

Loading

case feedback Read More »