Hi….I have a question for everyone.
These are the type of “lump” cases I do not enjoy (sorry Kyung)! I get very stressed out when they are assigned to me because I am always unsure how to report them.
My question is, what are the features of the initial imaging studies in both of Kyung’s cases that should have alerted us to possible neoplasm and warranted close clinical and imaging follow up?
I’m afraid I would have misdiagnosed both of these.
I see the teeny outer cortical erosion in the 2nd case…but I don’t know if that would have been concerning enough—-I would have described it, but I don’t know that I would have understood the ominous implications.
Certainly a 70F is not the typical candidate for chronic exertional compartment syndrome … this is a nice reference for MRI of acute and chronic compartment syndrome.
I know some clever OCADers will be able to tell me how I could have suspected neoplasm…
I ask that you adhere to standard OCAD operating procedures and REPLY TO ME ONLY (despite your reflexes and preference to hit “Reply All”).
Please, Please, Please—-I know that Some of you actually like to receive Zillions of emails everyday and hear everyone’s every thoughts….and share in the adulation of “Nice Case” comments … but Many people among our nearly 1030 members do not like that —-which is why we compromise and “ask” (actually, “tell”) the members to Reply only to the person who posts a case or a question—-and leave it to them to later summarize the responses in a single email to the group.
Sorry, I digress…..but I continue to receive frequent complaints about this. What is worse, we continue to lose people who unsubscribe because this irritates them so much.
I look forward to your responses….because I really don’t know how to sort out the harmless myofascial changes from malignancy in these instances.
Hilary
OCAD
Dear Hilary Umans,
Thank you.
Those cases were from teaching files. One of the cases was diagnosed about 10 years ago.
If I were taken care of such cases, I would like to add DWI for differentiation of benign and malignant.
TUS_MFS-Leg.pptx
Hi….I have a question for everyone.
These are the type of “lump” cases I do not enjoy (sorry Kyung)! I get very stressed out when they are assigned to me because I am always unsure how to report them.
My question is, what are the features of the initial imaging studies in both of Kyung’s cases that should have alerted us to possible neoplasm and warranted close clinical and imaging follow up?
I’m afraid I would have misdiagnosed both of these.
I see the teeny outer cortical erosion in the 2nd case…but I don’t know if that would have been concerning enough—-I would have described it, but I don’t know that I would have understood the ominous implications.
Certainly a 70F is not the typical candidate for chronic exertional compartment syndrome … this is a nice reference for MRI of acute and chronic compartment syndrome.
I know some clever OCADers will be able to tell me how I could have suspected neoplasm…
I ask that you adhere to standard OCAD operating procedures and REPLY TO ME ONLY (despite your reflexes and preference to hit “Reply All”).
Please, Please, Please—-I know that Some of you actually like to receive Zillions of emails everyday and hear everyone’s every thoughts….and share in the adulation of “Nice Case” comments … but Many people among our nearly 1030 members do not like that —-which is why we compromise and “ask” (actually, “tell”) the members to Reply only to the person who posts a case or a question—-and leave it to them to later summarize the responses in a single email to the group.
Sorry, I digress…..but I continue to receive frequent complaints about this. What is worse, we continue to lose people who unsubscribe because this irritates them so much.
I look forward to your responses….because I really don’t know how to sort out the harmless myofascial changes from malignancy in these instances.
Hilary
Dear Hilary Umans,
Thank you.
Those cases were from teaching files. One of the cases was diagnosed about 10 years ago.
If I were taken care of such cases, I would like to add DWI for differentiation of benign and malignant.
Stay healthy.
Yours,
Kyung