Anyone with any good insights into the signal changes in the femoral epiphyses of this 14 yo pediatric pt? Sort of serpiginous low t1/t2 signal outline with central fatty marrow and no double line sign. MR was for right hip pain. I was thinking maybe reparative phase of Legg calve perthes? Thanks in advance. -micah
peds femoral head finding help Read More »
Thanks to the many people who offered differential diagnosis possibilities. I reported that the DDx includes benign and malignant lesions, despite the chronic / indolent history. I reported that the DDX included but was not limited to IPEH, dematofibrosarcoma protruberans, Squamous Cell Ca related to chronic scar and pilomatricoma…. additional suggestions included benign vascular malformation,
52M chronic calf mass, US and MRI. Please Help. Read More »
I received several comments, thank you The consensus is that this looks aggressive and high grade surface osteosarcoma was specifically mentioned by a few We will keep BPOP in the ddx….and someone suggested calcified leiomyoma as a very unlikely possibility HADD was suggested, but this certainly is not HADD If, by some miracle, we get
62F infrapatellar swelling x 6 months, XR and MRI Please Help Read More »
I am trying to understand the marrow signal alteration that is more apparent on PDFS than PD images, and really not visible on T1W…predominantly within the posterior femoral condyles in a 62F who fell 2.5 months ago.She has a previously undiagnosed healing patellar fracture and a known ipsilateral acetabular fracture (not shown) Is this a
62F incidental knee marrow changes 2.5m post trauma, please explain MRI Read More »
42M R shoulder pain anteriorly for several months, no antecedent trauma or prior surgery, suspect biceps or subscap pathology. There is a large well defined gas collection surrounded by what appears to be fluid within the subcoracoid joint recess. No other joint fluid, no labral tear. Is this gas in an unusual synovial cyst? A
Here’s a weird one…. Read More »
Dear colleagues, I would like to request your assistance with a case involving a 36-year-old patient who has been experiencing elbow pain during pronation and supination for several months now. He has no significant medical history, particularly no personal or family history of inflammatory rheumatism. He does not engage in any activities that could potentially
Elbow tumor or pseudotumor Read More »
Hi Ocaders. A nice case. Male, 49 years old, presenting with a tumor on the lower border of the right scapula for 4 years. Reports discomfort in the region. I assume it is a osteochondroma with associated parosteal lipoma. Any other possibilities? Thank you in advance. Kind regards, Rodrigo Belo Horizonte / Minas Gerais /Brasil
25yo male sprained his ankle 2-3 weeks ago playing soccer. Ankle radiograph 2 weeks prior showed medial ankle soft tissue swelling, nothing else. I’m wondering why the medial retinaculum is so thick. Edema surrounds the medial retinaculum and it was most likely recently injured with partial stripping from the medial retinaculum. Could this represent acute
25yoM ankle sprain playing soccer Read More »
High level competitive runner testing new shoe technology; developed knee pain after a few weeks…. Distal Semimembranosus Tendon Avulsions: Acute Surgical Repair in a Professional Rugby Player – PMC Distal Semimembranosus Tendon Avulsions: Acute Surgical Repair in a Prof… Best, Frank
Another rare injury Read More »
