Dear colleagues, May I ask you for your opinion on this challenging case? In addition to WBMRI findings (subcutaneous & marrow changes), the patient has mild hepatosplenomegaly. My impression is a complex CRMO with extraskeletal features. Would you agree? Any other thoughts? Thanks, Regards, Talaat New paediatric case, Sep 2023.pdf
New paediatric case Sep 2023 ? Read More »
Correction, that’s the posterior supraspinatus, not the infraspinatus in the last image I know I have shared similar cases in the past and I was told that these were non-aggressive subcortical enchondromas….I thought someone (Don?) said there was a publication, but I cannot find it.In the last image there is infraspinatus tendinosis and she has
Incidental chondroid lesion humeral neck 37F MRI. Please Help. Read More »
Dear All,May I ask for your thoughts on a 5-year-old boy with a talus fracture in March 2023? A recent follow-up in July showed a tallus collapse and sclerosis with subarticular erosions in both XR and MRI in addition to the synovitis. I’m thinking of AVN. But, Would you see such erosion in AVN in
Tatiane Cantarelli shared this.I clearly over-estimated the thickness using this technique! Improved Differentiation of Benign Osteochondromas from Secondary Chondrosarcomas with Standardized Measurement of Cartilage Cap at CT and MR Imaging Stephanie A. Bernard , Mark D. Murphey, Donald J. Flemming, Mark J. Kransdorf https://doi.org/10.1148/radiol.10082120 Tatiane On Wed, Aug 23, 2023 at 9:46 AM hilary umans <hilary.umans>
Question about Femoral Osteochondroma Cartilage Cap, 34M Read More »
So I got a few answers, I’ll post what most people think: Chondroid lesion of more than 5 cm (here 5.4) in a context of pain (not otherwise explained) with abnormal painful gait should be evaluated by a oncologic surgeon as it could be low grade chondrosarcoma. The subchondral edema in the femoral head could
femoral incidental finding on MRI + pain Read More »
Doesn’t look like AVN or stress reaction, too old for FOPE focal periphyseal edema. Can’t R/O infection but awfully long development time. Interested to hear other opinionsJoel Rubenstein On Aug 21, 2023, at 1:39 AM, D.J. Y. wrote: Dear all, 19yo male patient who fell 2 month ago with persistent proximal femur pain and vicious
femoral incidental finding on MRI + pain Read More »
Thanks for the responses from: Rob Lambert: Yes – can be mechanical. As well as getting subchondral cysts, degenerative change in joints with a short thick capsule and limited range of motion may be associated with ganglion cysts arising from the joint capsule that erode bone around the perimeter of the "tight" joint. Classic examples
Funny looking pubic symphysis, Please Help. 65F XR and CT Read More »
The answers varied from charcot-gout-amyloid- plexiform NF This is actually a diffuse NF. Chance of malignancy in these tumors is essentially zero. They are mostly of cosmetic-pain issues. Plexiform have possibly increased chance of malignancy- but not these.. See attached histology slide of this tumor- benign fibroneural tissue Here’s an article detailing different types of
what is your diagnosis in this NF1 patient? Ans Read More »
Normal Pacinian corpuscles – occur in the feet as well as the hands. Thanks for the answers. Presentation1.pptx
