To be continued ….
Many thanks to everyone who responded.
Several possibilities were interrogated.
Attached are CT images of the left shoulder.
As the lesion is bilateral, the case is quite enigmatic.
OCADER´S RESPONSES:
1. Malformed vascular/venous structures?).
2. Possibly Gotham’s disease? (Would it be Gorham´s disease?).
3. Agree, the tubular pattern and T1 intrinsic signal suggest long bone hemangioma.
4. I think these look chondroid, and I’d consider multiple enchondromas… ‘Ollie’s disease’.
5. Looks a like fibrous dysplasia, I think.
6. Intraosseous lipoma cystic degeneration.
7. Some weird infection?
8. Old bone infarcts from steroids contracted lesion margins on axial. Ot-rads II.
9. It looks like that type of multiple enchondromatosis that permeates the bone marrow and causes deformity in the bone.
King regards,
André.
Hello ocaders.
A 33-year-old male patient who came for a LEFT shoulder examination with pain.
Elongated images of the diaphysis of the right and left humerus appeared, with enlargement of the medullary canal (malformed vascular/venous structures?).
Any ideas?
LEFT HUMERUS CT:
|
LEFT HUMERUS:
RIGHT HUMERUS:
