Follow-up regarding the DDH case I sent a while ago. Didn’t receive many responses. Here is what I received. 1) In this case for example, could you expect the reduction to improve with time as the pulvinar atrophied? no- muscle strengthening may help to keep head somewhat in early cart deg is the rule till […]
post-reduction spica MRI Read More »
Hi again! I received several good responses! Thank you for supporting the notion about HADD, and actually the patient is better, not entirely, but much better. From the responses: I think the standard time course is days to 4 weeks….but it can last longer.How did her symptoms change in the 4 weeks? I believe it’s
Vanishing calcfications Read More »
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
OCAD – acute fracture by MRI and no bone edema Read More »
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
14F history of fall in the playground 8 years ago, ankle pain. XR, CT, MR. Please Help Read More »
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
MRI to evaluate posterolateral proximal calf lump 1-2mos, other finding, please help Read More »
large B-cell lymphoma. Previous radiotherapy and chemotherapy. 70F,
OCAD – good response to chemotherapy Read More »
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
68F radial side wrist pain since January 2023, XR, please help Read More »
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
