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I have received several comments…. Most people favor a benign vascular lesion…but would like to further investigate with CT. Dr. Vande Berg added it would be nice to see a CT with bone scan where the lesion is not hot. Nobody seems to think it is an enchondroma either. Thank you. Hilary I was concerned […]

Thanks for responding! I got 3 replies. – 2 suspected serous atrophy of bone marrow – 1 suspected lipodystrophy I guess the replies are all interlinked in that there is a problem with fat deposition. His height is 174 cm and weight 89,5 kg, so anorexia is not likely. There is no information that the

Hey !!! Hillary asked me to share this recent case of mine, very similar to the case she posted. The diagnosis of eosinophilic fasciitis was confirmed by the rheumatologist with a physical and laboratory examination. Treated with corticosteroids and good evolution. Kind regards. André Gomes.

Hi ocaders, How do you describe this injury? This is a case of a 40 yo man who plays footvolley (a sport combining beach volleyball and soccer, originating in Rio de Janeiro, see the pictures attached). There is a complete detachment of the patellar tendon at the patella and a rupture with delamination of the

I found the reference I was alluding tohttps://journals.sagepub.com/doi/10.1177/2325967120904010 Baseline post op XRs….just to show this was more than 2 yrs ago There is a metallic interference screw in the femoral tunnel The ACL graft is intact and there is no meniscal tear or cartilage loss on today’s MRI (not shown) The only finding is marrow

Thanks to you 7 who replied! Most said subperiosteal hematoma (old). 1x periosteal chondroma (my 2nd DDx as well) 1x sessile osteochondroma Have a great weekend! Björn **EXTERNAL E-MAIL** Hi All! Funky looking lesion anterior femur in a trauma knee. Must be longstanding based on the X-ray appearance. Thoughts? Björn

Sharing a nice case from this week! Hx: 37-year-old male, avid cyclist (125+ miles per weekend), experiencing perineal pain, clinical suspicion for soft tissue mass vs. hamstring tendinopathy. MR Findings: Edema and scarring of the subcutaneous layer of bilateral perineal fat pads/medial proximal thighs, left greater than right, without significant contrast enhancement. Diagnosis: "Biker’s Saddle

I had signed out the report as consistent with either Morphea or Eosinophilic fasciitis I received many comments from people who either thought this was morphea (limited scleroderma) or suggested the DDx of Morphea vs Eosinophilic Fasciitis….as that is apparently the main differential. I’ve included highlights from an online reference about eosinophilic fasciitis. Summary Eosinophilic