Male patient, 46 years of age; right hand pain, history of injury. Ulnar nerve distribution denervation changes. 4th and 5th PIP flexion deformities. 3rd finger not flexed (3rd sagittal image here). Guyon’s canal was normal so it is assumed an elbow origin claw hand (relatively mild clawing). Image with reference given last. Will try to […]
Potentially interesting hand case Read More »
She would have been 38yo at the time of THR, which is young….I have no history, though XRs from 2017 show Left > Right hip DJD. I see that she had bariatric surgery in 2012. She is African American, but there is no reported history of SCD, nor are there bone infarcts in the current
42F with Left Hip pain s/p THR 2020 Please help Read More »
47yoF bitten by a dog. Xray (not provided), shows foreign body. Please perform CT to decide whether this is bone or a tooth. Hx states bone will be left in and treated conservatively and tooth will be surgically removed. I said tooth. It’s pointed like the tip of a canine tooth, more dense houndsfield units
I received several comments, all in agreement. Tatiane Cantarelli summarized best: I think the clavicular and scapular changes are post-radiation cortical and trabecular thickening with fatty replacement, nothing worrisome. The calcifications look like dystrophic post-treatment sequelae. However, the manubrial lesion is definitely concerning. it has a more aggressive appearance with marrow infiltration, and I really
Complex History, MRI, previous Chest CTs Please Help Read More »
I had a similar case of a trochlear OCD recently in a 14-year-old (see attached) which looks pretty similar. I think that these heal with rest but would be a little hesitant at him going back to full activities if there is still BME and enhancement, although I guess the lack of symptoms is reassuring.
F44 gastric NET, G2, T1 No lymph node, pulmonary or hepatic mets. Staging CT shows multiple sclerotic bone lesions at the manubrium, two vertebral bodies, and the posterior left os ilium. They look more like FD to me…. Or maybe Paget lesions, although I would have expected some bone deformity with those. But of course
PLs help – Sclerotic bone lesions F44 gastric NET Read More »
Hi Hilary. I saw this case some time ago that arrived undiagnosed. Based on the article you mentioned, I considered the possibility of rheumatoid arthritis. I followed this patient, and the diagnosis was subsequently confirmed clinically. Subsequently, the patient developed clinically detectable arthritis, and laboratory tests confirmed rheumatoid arthritis, and treatment was initiated. We considered
Lumbrical muscle enhancement on MRI Read More »
Sorry for the too-many emails….. I just realized I didn’t send the axial images…..these are the ones that show the hypothenar and palmar interossei enhancement Flavio Duarte mentioned that he has frequently seen selective lumbrical enhancement and stopped trying to make sense of it or explain it. I have a pdf of the article, if
60F 10-15 yrs hand and wrist pain and swelling MRI and XR, please help Read More »
Hello everyone, Can I have your opinion on this lesion: cortical lesion of the distal femur. For a tug lesion, the soft tissue extension is a bit unusual. Also we see a small breach on the cortex. The bone sclerosis indicates a bening lesion. The patient is symptomatic. Did you see similar lesion in the
