Dear All, So far I got the following: – I believe this is CPPD of the spine. Definitely not tumor. – Reminds me a bit of Paget although posterior elements not grossly involved. Wondering if the bridging bone is an incidental relation. – DISH (inflammatory or fractured) or HDD of the longus colli tendon I […]
Cervical spine – responses Read More »
I would favor ulnar osteochondroma with associated ulnar shortening and pseudomadelungs based on cases I have seen previously at Scottish Rite. Molly Dempsey Great suggestion from Ingrid Kjellin below, thanks . Have obtained some further views (attached).Are appearances consistent with/ diagnostic of focal fibrocartilaginous dysplasia of the distal ulna? regards RobJ Hi, Could be focal
Dear OCADers, I am hoping to get your opinion on this case. 67 year old presenting with sudden onset neck pain with weakness of right arm and tingling bilaterally. Images show bony proliferation at C6-7 in the right paraspinal region. There is sclerosis and oedema of the adjacent vertebral bodies. There is further oedema in
I agree, but I would like to see a radiograph. Would also include ACT/CS1 in view of slight endosteal scalloping and slight peri-lesional edema. agree, I usually suggest, in these cases, imaging control in 6 months. Unfortunately, I think this has to be biopsied. Depending on other factors (size of the index tumors, sentinel lymph
Jerrold Mink shared this reference https://www.ajronline.org/doi/10.2214/AJR.10.4460 It’s a small series….but no benign notochordal rest enhanced, and all the chordomas did. I recommended a contrast exam. I’m hoping it doesn’t enhance. Then I guess I’d have to decide whether to follow it up in a year or two…. I’ll share the contrast images when she returns.
Coccyx lesion 39F MRI please help Read More »
67M, pain, fall a year ago Degenerative disc disease (erosive osteoarthritis). Insufficiency fractures and bone remodeling of vertebral bodies. traumatic sequelae at T12. agree?
Dear OCAD, I need help with the diagnosis of this: 57yo F with soft tissue mass palpable near the basis of 5th metatarsal, since 3 months. US: hypoechogenous solid mass, no Doppler inside, little bit of posterior wall enhancement. No calcification. There is something which could look like a punctum… But I’ve had experiences and
thank you very much for the answers: – met until proven otherwise – ct guided biopsy – ot rads 3 possibly benign like hemangioma f/up male, 63 yo, no known malignancyOTRADS? please help
incidental femoral lesion Read More »
Many thanks to everyone who replied to me. The answers are: Synovial osteochondromatosis Consider synovial osteochondromatosis with enhancing chondroid portion. Soft tissue chondroma, calcified paralabral cyst. It looks too “mass-like” for calcific periarthritis. The cases of this I’ve seen of CP have hypoechoic and punctuate calcific foci surrounded by ill defined T2 hyperintensity. I would
OCAD – Opinion please Read More »
