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Hi everyoneA 63 yr old female diabetic work up for rheumatoid arthritis negative Has severe neck pain with stiffness and restricted movements The odontoid erosions suggested rheumatoid arthritis to me. Kindly review and advise. Regards

Thanks to those who took a stab. I was at first thinking the huge IVC, pelvic congestion and bilateral varicocoeles meant right heart failure or IVC obstruction, then I remembered that a cardiologist once told me I had ‘athletes heart’ on the echo I had after a particularly torrid Ironman. I googled and endurance athletes

Here’s hot off the press from Dallas What is your answer- suspected infection?

Companion case – biceps cleanly torn off the fibula.GK Isolated Complete Rupture of the Biceps Femoris Insertion: A Surgical Repair Technique Manuscript HX 45 y/o with work injury Best, Frank

36yr man who runs 50 miles per week. He has symphyseal and right sacroiliac stress as well as PLAC injury and labral abnormality. Quiz: What caught my eye and what is probable ‘incidental’ diagnosis? Question: Anyone else seen this?

66F with knee mass present for about 3 years. No noticeable change in size or discomfort. History of stroke and an implanted heart loop monitor. We have outside MR, CT, and Radiographs. Only have postcontrast imaging in axial plane, which isn’t great quality. Mass involves proximal fibula and tibia with large soft tissue component. Faint

Dear all,Attached surgically proven case of Marinum in an immunocompromised local Dr who a few weeks prior went scuba diving in Fiji and denied any penetrating injury. No synovitis elsewhere (extensor tendons of the same wrist), other wrist totally normal, also ankles, feet, which made me think of subacute atypical infection. best wishes GK On