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OCAD MTP arthropathy (MRI) inflammatory or Kohler-Freiberg?

Hi there OCADers, please help with this one. 50 year old female with persistent pain at the 2nd mtp joint. MRI shows arthritis with acute inflammation, b.m. edema, effusion and a chronically flattened mt head consistent with xrays 1 year prior (not shown here). I wonder, is this secondary to Kohler-Freiberg or some chronic arthritis

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OCAD – wrist

Hello, once again! Apparently, I had some kind of problem with the rest of the images. I’m sending them now in a ppt file. Thanks in advance for your time and consideration. "Patient, 39 y.o., wrist pain with no history of trauma. Hypothesis? Hydroxyapatite deposition disease? Accessory Ossicle (os epilunatum? os hypolunatum?). " Cordially, —

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– osteolytic lesion on the occipital condyle – Replies

Interesting Avneesh’s answer: None of those occipital condyle is equivalent to the vertebral body Anterior part of vertebra has 4 lesions commonly- Hemangioma – very t2 bright/t1 bright GCT- t2 dark without sclerosis or mineralization Chordoma- intermediate or bright on t2 with mineral Clear cell CS- very t2 bright with mineral and peripheral enh This

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