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My colleague consulted with me on this 58F with "funny looking bones" For years, all of her bones look like this, and have been reported as "Paget disease" or suggestive of Paget disease….seemingly missing the point that Paget can affect any and many, but not Every bone. Channeling a long deceased mentor, I told my […]

This is a current case pending dictation. No history of trauma, no other imaging studies. There is hemorrhage within the Median nerve which is diffusely thickened and T2 bright proximal and distal to the hemorrhage. This is not a bifid nerve. Could there have been hemorrhage of a median artery into the substance of the

F60 imaged for predominantly left hip pain. She has arthritis of the left hip joint with synovitis, which I’m not sure about: inflammatory/infectious/OA?…. definitely more prominent than in a prior MRI from 2022 (not shown). (Her hip pain might be complicated by symmetrical bilateral exostoses at the trochanter with soft tissue impingement as posted previously.)

60 F imaged for hip pain. She has OA of the hip joints, especially on the left. Also bilateral symmetric exostoses at the anterior aspect of the greater trochanter, with surrounding edema suggestive of impingement of the adjacent soft tissues. The exostoses are unchanged since 2012 and 2022, the surrounding edema increased. Can’t recall having

There is scalloping of the outer cortex of the proximal humerus with adjacent mineralization (XR from yesterday) She has a tear at the anterior supraspinatus insertion and enhancing bursal inflammation which I presume is responsible for her pain. It seems that the surface chondroid lesion has been living with her for a long while, as

Here’s a relatively rare instance of a well visualised OPL on routine knee MRI. In this case the main lateral insertion is at the fabella. Screenshots attached. Have a great day everyone. Andrei

Apparently this is just a very small os calcanei secundarium.Hilary sent this great reference: #9 = os calcanei secundarium. Thanks OCAD! -KS Begin forwarded message: From: Ken Subject: Not in Keats Date: January 8, 2025 at 2:08:20 PM EST To: ocad-msk Reply-To: schreibman Does anyone know the name of this accessory ossicle?I can’t find it in

Additional response, thanks! I like this for complex intratendinous ganglion, Phil. To tie h/o past surgery, it could have been background mucoid degeneration with a seroma that grew out of control. I have seen pretty large ganglia, not quite as big as this, within the substance of the PTT and peroneals. My two cents. On

Would you help with an opinion on this! F/50yr, Come in to hospital because of left orbital swelling and multiple scalp masses. Am thinking it’s a Meningeal Hemangiopericytoma/fibrous tumor – but due to it being multifocal do you have any opinions ? Thank you in advance. Simon