After having a better look, it might actually be a type 3 accessory navicular bone with posteromedial proeminence? Dear all, Would gladly ask for help for this 13 yo boy with medial foot pain for 2 month in progression, with gait, without any notion of trauma. Could that be early Kohler? There is no accessory […]
13 yo with 2 month foot pain with findings Read More »
Many comments suggesting Rapidly Progressive Osteoarthritis of the Hip I remember all the presentations and reports a while back, but have never seen a case in practice. This just looks so neuropathic to me, but I suppose it falls into that wastebasket diagnosis. I do not have any history of recent joint injection….but that doesn’t
71F 6 weeks left hip pain. CT. Please help Read More »
This is a consult from my colleague, Michael Setton…we’re both hoping you can help with the diagnosis. This is a referral from podiatrist whose stated indication is to evaluate osteoporosis, so….not useful at all.The patient told the tech that her ankle has been "abnormal since childhood" with chronic, worsening pain. There is diffuse dark signal
Funny looking bones 45F ankle and foot, MRI and lousy XR Please help Read More »
Dear friends. This was a case where it really paid off to be a member of OCAD! (I know its free :-)) Many and great responses, all in favour of "Cystic adventitial disease" and maybe it is not the parameniscial cysts dissecting into the adventitia, but joint fluid along small vessels close to the joint.
White leg and foot after 60 seconds of running Read More »
Male, 15 years old, skateboard trauma 02 months ago. Pain and increased volume in the medial region of the knee. Fracture in osteochondroma. Adventitial bursitis with serohemorrhagic content? Best, Andre Gomes.
Fracture in knee osteochondroma Read More »
Dear Ocader´s. Thank you all for the comments. There was no doubt about the diagnosis. 1. Yes, nice case. ot-rads 2 2. Excellent case, Thank you. 3. Yes, I would call it. 4. Agree overall. OC fracture looks chronic, maybe pseudoarthrosis. 5. Agreed – maybe even fatty components mixed with blood. Would see it better
FRACTURE IN KNEE OSTECHONDROMA Read More »
Tatiane shared these images from another article, too…I will report it as a healing fracture with probable adjacent post-traumatic cyst, and suggest MRI follow up after the fracture is healed, if they think it’s indicated, to look for resolved marrow edema. Images from this case: >>> Post-traumatic osseous cyst of the distal radius in a
Knee and Leg 23M sports injury 8 weeks ago, MR and CT. Please Help Read More »
Responses overwhelmingly favored lymphoma/leukemia Other suggestions were: infection angiosarcoma/hemangiopericytoma Erdheim Chester Hemangioendothelioma lymphatic/vascular malformation I have asked the referring MD to let me know the biopsy results when available
13 yr old with knee pain Read More »
I have been reassured by Rob Lambert that it is neither sinister, nor does it suggest any obvious metabolic bone disorder…so I’m over it. I had wondered if it could be due to chronic mechanical stress at the insertion of the abdominal wall muscles, given the awful condition of his lumbar spine and his body
XR consult 78M bilateral hip pain, look at the superior pubic rami Read More »
