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Webspace Neuroma vs Pseudoneuroma 61F DPM suspects 2nd Interspace Neuroma, MRI

This was a consult today from my colleague Jeremy Grubin, who did not agree with the referrer’s clinical diagnosis If you look proximally in this case the dark T1 soft tissue thickening in the 2nd webspace is indeterminate…you must look at both the long and short axis images to see if you can tell if

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“Ordinary” TMT osteoarthritis, or anything specific?

Hi there everyone, this is a 77 year old lady with chronic foot pain. The referring physician says she has CPPD. Doesn’t know about trauma. MRI shows marked osteoarthritis at the TMT joints, especially II-IV, with marrow edema and large cysts. Also possible insufficiency / stress reaction at the proximal 2nd and 3rd metatarsals. Alas,

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37M fell through roof 1 week ago with dislocation, incidental lesion. Please Help

Responses were mixed, though a slight majority told me they would report it as enchondroma with no follow up recommendation. A few were less confident One recommended CT to assess depth of endosteal scalloping now Others recommended f/u MRI in 6-12 months Simply because I don’t want to be blinded by the acute trauma and

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37M fell through roof 1 week ago with dislocation, incidental lesion. Please Help Read More »