young male healthy patient presented with forearm painful tendon swelling since one weekaccording to patient he had small swelling in olecranon bursa region since few months which disappear after he noticed forearm swelling no history of trauma, fever, diabetes. Is it atypical infection or inflammation(as there is focal necrotic area and T2 hypointense areas)? Rest […]
forearm painful swelling since one week-help/opinion Read More »
R/o OM Notice few interesting findings calcification in wrist as well SLAC coming up with CPPD as well New on top frames and old at bottom Flexion deformities of the fingers with scattered soft tissue calcifications and chronic tuft erosions of the distal phalanges with associated soft tissue atrophy. Additional scattered calcifications around the wrist
Cute systemic sclerosis with report Read More »
I received 2 responses from Drs. Guilford and Simoni, both who strongly favor PVNS….though it’s an unusual location. Dr. Guilford suggested f/u XRs to look for calcification/ ossification possibly related to myositis ossificans—-in the unlikely event that the prior radiographs were just too soon to see any. I think it’s a great suggestion and I
Elbow MRI 14M chronic sts, occasional pain, asymmetric “growth” Please help Read More »
Hi all – Thanks so much for your prompt and detailed replies. They were a bit varied (which makes me happy since my own thoughts were a bit all over the place on it too) A slight majority favored muscular atrophy secondary to disuse (longstanding inability to plantar flex) There were a few respondents who
Help with this case Read More »
-what is your diagnosis? -which OT-RADS category would u place it in? – for prox femur lesion – distal femur lesion Best! AC Avneesh Chhabra, M.D. M.B.A.
Quiz on monday morning Read More »
Mass medial to distal biceps (red arrow) in close proximity to the distal brachialis tendon (blue arrow), but really between the two https://musculoskeletalkey.com/bursitis-4/ Peripheral and septal dark T1/PDFS signal, seems to bloom on GRE. No mineralization on XRs from August. I want to call this PVNS (GCTTS). I don’t think the brachialis has a tendon
Elbow MRI 14M chronic sts, occasional pain, asymmetric “growth” Please help Read More »
Not really Here is the reason from lower extremity fracture cohort study Haider S, Pezeshk P, Xi Y, Abdellatif W, Chhabra A. Extent of bone marrow edema on dual-energy CT aids in differentiation of acute from post-acute fractures of lower legs. Eur Radiol. 2023 Jan 4. doi: 10.1007/s00330-022-09373-3. Epub ahead of print. PMID: 36600125. Best!
Do you see bone marrow edema Read More »
Tear and detachment of the prepatellar continuation beautifully seen in this case of complete tear of quadriceps tendon (figs attached). Anatomy of this region nicelly published by my brazilian friends Rodrigo Aguiar, Daniel Pastore and Don Resnick: https://www.ajronline.org/doi/10.2214/AJR.07.3107 https://www.ajronline.org/doi/full/10.2214/AJR.05.1466 Best, Atul
Prepatellar continuation case Read More »
Sharing a nice case: Complete tear of subscapularis tendon and medial luxation of biceps tendon, due to rupture of its pulley and transverse ligament. Images attached: 1. Retracted torn Superior Glenohumeral Ligament 2. Medially displaced biceps tendon 3. Torn transverse ligament 4. Complete tear of subscapularis tendon Great review at: https://radsource.us/pathology-of-the-long-head-of-the-biceps-tendon/ Atul
