thank you for the responses everyone! I got two reaponses favoring residual disease/cannot exclude residual disease, and two responses favoring marrow necrosis. Best, Jessica Hello, please help me with this pediatric neuroblastoma post treatment follow case. I do not see a lot of these, and I am hesitant to call this residual disease. Please let […]
My colleague has acute shoulder pain from intraosseous extension of HADD. I was tempted to see if I am able to see the calcification on US and attempt to aspirate and lavage it. The ortho surgeon wants to do a steroid injection into the glenohumeral joint. I would be very interested to get other opinions.
Management advice please Read More »
Dear OCAD colleagues I encountered this MRI today. This is a 67 year old lady with known left knee replacement and revision in April 23. She started to have intense, medial knee pain on weight-bearing, biting; pinching type. I see the signal abnormality, at the medial tibial Metastasis away from the prosthesis. It is strange
Got very few responses, they are as below1.Likely desmoid tumour 2.?Denervation injury 3. FAVA type of AVM. From whatever I read on the google, this goes closest to FAVA.However, I could not see any calcific areas on a subsequent CT of the leg, neither the doppler showed hypervascularity. Will keep you posted as and when
Responses to case of leg swelling Read More »
Dear friends I received several answers, pointing out that the dorsal configuration of a MN is due to the location distal to the intermetatarsal ligament, obviously also dependent on the position of the joint/toe, and prone/supine. Thank you all, it makes my life both easier and more difficult 😀 Here are some of the responses:
I received several, very helpful comments from Dr. Eugene Lim:1) Uric acid saturation point is 6.8 mg% at core body temperature, so 8 mg% is definitely high. When measured during an acute gout attack, sUA can be normal or even low, due to the uricosuric effect of stress cortisol produced. The sUA is therefore best
Chronic foot mass, 28 Asian Male, MRI. Please Help Read More »
I have no clinical information other than Right hip pain There is obvious asymmetric enlargement of the Right AIIS which is relatively low lying Clearly the remodeling of the AIIS is chronic, presumably the result of previous avulsive stress. I see the intratendinous calcification at the origin of the rectus femoris….it looks too smooth to
17M with Right Hip pain. XR. Your thoughts? Read More »
Another quick follow-up on this case. I received several responses since my last email stating that they too have never seen such dense calcifcations/ossifications with gout, and especially atypical given the absence or paucity of erosions. However, I did aspirate one of the patient’s MTP joints and the aspirate was positive for monosodium urate. Strange
Bilateral great toe ossifications Read More »
M 36 years old, knee sprain 30 days ago. Suspected lateral meniscus injury, which is normal. Traumatic injury to the proximal tibiofibular joint. Avulsive rupture of the anterior proximal tibiofibular ligament (ATFL) and the anterior arm of the biceps tendon (ABT) at their tibial insertions. Extensive tibial bone edema. I decided to add a CT
PROXIMAL TIBIOFIBULAR JOINT INJURY – PLEASE HELP Read More »
