Hi, a few more interesting comments regarding this case: Lesion is locally infiltrative, histopathology can only be guessed at. Patient is not that old. Anecdotal reports of deterioration following Bx of desmoid are just that, could just be coincidence. I refer such a patient to a sarcoma (not general oncology) surgeon for complete excision as […]
31F Mass Right Pelvis XR and MRI, Please Help Read More »
Results; separated by paragraphs for different institutes. Some redacted due to personal statements. Interesting differences. USA Acaedemic: The Interventional and Neuroradiologists make a little more base salary. How much more I’m not sure. We have a bonus plan but its around 5% or less of our overall salary. The bonus system is pretty fair in
MSK section compensation Read More »
Thanks for all of your comments and thoughts on this case.There was zero consensus and I didn’t find any real guidance with regards to my actual question about that (admittedly subtle) erosion at the anterior humeral head. To be clear, we do not routinely use iv contrast to evaluate adhesive capsulitis…..we do whatever our referrers
Please Help Shoulder MRI 45F 6 months pain and numbness Read More »
Thanks for the several responses I received. Though some suggested waiting it out and reimaging in another 6 weeks, and getting XRs at that time to see if there is any calcification or ossification….the consensus was to recommend biopsy. I spoke to the referring orthopedist, who told me that the patient is already awaiting his
Thigh mass 75M MRI and CT, Please Help Read More »
Hi there everyone, many thanks for your numerous replies. I am posting some of them below for general edification (in some cases abridged): Capsular tears occur in the shoulder for a variety of reasons. I routinely inject 15ml into normal-sized people without evidence of capsular rupture (or symptoms), sometimes going to 20ml for the really
OCAD Iatrogenic joint capsule tear at arthrography? Read More »
Could it be palmaris longus hypertrophy? By Joel R Dear ocad Sorry earlier mail has error loading the images Here’s the sequences T1 pre and post contrast (first row) T2 axial (second row) Pdfs axial (third row) T1 coronal and axial (fourth row) Please kindly give your opinion of painless swelling for a month duration
Dear OCADers Atypical case I came across today. There is mild thickening and focal hyperintensity in the tibial component of the sciatic at the level of the greater sciatic notch. The pyriformis is seen splitting the sciatic nerve. I would have called it sciatic nerve entrapment but pyriformis is atrophic in this case. Wanted to
I hope these holidays and the New Year bring health and happiness to you and those you love.I cherish the OCAD and broader MSK radiology community that we are a part of….there is nothing like us! I feel fortunate that I’m old enough to remember simpler times….when we were not slaves to algorithms, singing the
Please Read. and HAPPY HOLIDAYS!!! Read More »
One quick update for those who are interested: Developmental stress change/variant – 3 votes Osteopathia Striata / osteosclerosis – 3 votes Other related comments: ACL looks abnormal, lateral femoral condyles look a bit small. Possible insult prior to epiphyseal ossification. Thank you everyone, Joseph Chang On Mon, Dec 19, 2022 at 4:51 PM Joseph Chang
Vertical streaks across physes in a patient with bilateral knee OCD Read More »
