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Sent: Wednesday, October 13, 2021 11:06 AM
EXTERNAL MAIL
Hi，dear ocaders，
Here’s another case. The orthopedist worried a malignant osteoblastic tumor due to the high uptake on bone scan.
I think the leison in femur is melorheostosis，but how to explain the cloddy ossification in iliopsoas bursae. The orthopedist also want to know the soft tissue ossification is synovial chondromatosis or not. I believe this two manifestation result from the same disease. “myositis ossificans-like”soft tissue ossifications was reproted in the melorheostosis literature. But I am still not confident about the dignosis. espeically high uptake on bone scan. need your help. Thanks!
I agree and would call it ‘mixed connective tissue disorder’, melorrheostosis being part of this.
Here are a few images from one of my old articles- Melorosteosis- similar case
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, October 13, 2021 11:06 AM
EXTERNAL MAIL
Hi，dear ocaders，
Here’s another case. The orthopedist worried a malignant osteoblastic tumor due to the high uptake on bone scan.
I think the leison in femur is melorheostosis，but how to explain the cloddy ossification in iliopsoas bursae. The orthopedist also want to know the soft tissue ossification is synovial chondromatosis or not. I believe this two manifestation result from the same disease. “myositis ossificans-like”soft tissue ossifications was reproted in the melorheostosis literature. But I am still not confident about the dignosis. espeically high uptake on bone scan. need your help. Thanks!
Xianjing
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