funny foot – please help

Dear Ocadders

Attached the case of an odd foot we are struggling with…

CT and MRI show signs of arthritis with hyperemia and bone loss as well as bone infarcts and findings suggesting Charcot foot. Hopefully someone can unite the present findings for a final diagnosis.

Images are Dual energy CT, T2 FS long axis and T2 FS short axis with T1 sag for orientation

Many thanks and best wishes

Ricardo

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1 thought on “funny foot – please help”

  1. OCAD
    Hello,

    Nice images

    Why calling bone infarcts?

    Just Charcot and subacute fractures should be enough

    DECT will show BM edema at site of charcot

    see attached- green is edema

    Avneesh Chhabra, M.D. M.B.A.

    Professor Radiology & Orthopedic Surgery

    Chief, Division of Musculoskeletal Radiology

    UT Southwestern Medical Center, Dallas, Tx

    5373 Harry Hines Blvd.

    Dallas, Tx-75390-9178

    Office: 214-648-2122

    avneesh.chhabra@utsouthwestern.edu<mailto:avneesh.chhabra@utsouthwestern.edu>

    http://www.utsouthwestern.edu<http://www.utsouthwestern.edu/>​

    ________________________________
    Sent: Wednesday, March 23, 2022 11:41 AM

    EXTERNAL MAIL

    Dear Ocadders

    Attached the case of an odd foot we are struggling with…

    CT and MRI show signs of arthritis with hyperemia and bone loss as well as bone infarcts and findings suggesting Charcot foot. Hopefully someone can unite the present findings for a final diagnosis.

    Images are Dual energy CT, T2 FS long axis and T2 FS short axis with T1 sag for orientation

    Many thanks and best wishes

    Ricardo

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