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fat sat not good- see subq fat non displaced fx have less edema Avnnesh I think absence of bone marrow edema is not reliable in this case – this is acute avulsion fracture, without impression, also STIR is not very sensitive in older patients with osteopenia (link attached). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7964447/ Natalia Quite common to have little […]

I received a few comments….with a range of opinions….am still dragging my feet on the report….. Phil Tirman said:I think an extra-articular pillar coalition. Ask James Linklater. Looks like it on the second sag and drunken waiter sign on oblique radiograph. James Linklater said: The ossicles seem too proximal for a typical accessory navicular. Do

Hello, I would appreciate your help with a wrist MRI… Thank you very much 💐

45M with no history other than "non-resolving posterolateral proximal calf lump 1-2 months"There is inhomogeneous loss of fatsat in the area of concern without a mass or real enhancement that I can see in that area. I don’t understand what is going on in the popliteus muscle. Which looks normal on T1W and T2FatSat, but

large B-cell lymphoma. Previous radiotherapy and chemotherapy. 70F,

Per Don Resnick: Typical causes for this compartment involvement are osteoarthrosis, inflammatory osteoarthritis, gout, and scleroderma. My opinion in this case is posttraumatic osteoarthrosis as there is chronic periosteal reaction along the medial aspect of the thumb metacarpal. Superimposed crystal deposition if the patient has gout is a possibility. Not typical of scleroderma although this

Beautiful case, Hilary! I have seen 2 cases that actually look very much like yours. We started at the wrong end with MR (and contrast) before we did the x-ray and CT, and were initially quite confused about this woman in her 70s who could not lift her arm at all. CT particularly nice showed

The lesion is certainly benign, so the DDx is academic…I presume it will be excised and will try to get follow up. Don Resnick and Darra Murphy both suggested the possibility of Melorheostosis….I was not aware that it could look like this when it affects the scapula; apparently it can. Though you would expect additional