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LUNG CANCER WITH SKELETAL METS

Case 643929
MSK › Neoplasm
87 year old male
3 CR images
Pending biopsy. LUL Mass, Subtle lucent defect in the proximal left humerus, periosteal bone formation around the length of the R tibia, two lucent defects present in the proximal tibia Multiple lytic Lesion … [view case]
By J P, Radiologist
09/24/2011.
Not yet rated

PAGET'S DISEASE LUMBAR SPINE

Case 771798
MSK › Neoplasm
70 year old male
6 MR images
By Residents Kaiser, Resident
09/24/2011.
Not yet rated

MULTIPLE MYELOMA

Case 23477544
MSK › Neoplasm
75 year old
1 image (CT, CR)
MM Multiple lytic lesions.
By Janet Neutze, Radiologist
09/24/2011.
Not yet rated

SUBTLE BREAST CANCER BONY METASTASES ON 84 Y…

Case 47902833
MSK › Neoplasm
84 year old female
3 images (CT, NM)
Subtle bony metastases on CT well seen on Bone Scan Fig 1 Bone scan shows increased tracer uptake in left side of sternum and anterior end of left second rib Fig 2 CT shows subtle sclerosis in anterior end of left second rib Fig 3 CT shows subtle sclerosis in left sternum M … [view case]
By alex maclennan, Radiologist
09/24/2011.
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METASTATIC BREAST CANCER TO AXILLA AND BONE …

Case 48208343
MSK › Neoplasm
63 year old female
10 CT images
Metastatic breast cancer to axilla and bone Fig 1, Fig 2, Fig 3 Tumour mass/ adenopathy in left axilla. Fig 4 Tumour nodules in subcutaneous fat of left chest wall Fig 3 Rib metastasis with extrapleural soft tissue mass Fig 5, Fig 6, Fig 7, Fig 8, Fig 9 Mixed lytic and sclerotic bone metastases in vertebrae
By alex maclennan, Radiologist
09/24/2011.
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BONE METASTASES FROM BREAST CANCER IN 62 Y/O…

Case 11511981
MSK › Neoplasm
62 year old female
10 CT images
Bone metastases from breast cancer. 1. Left Mastectomy. 2. Radiotherapy scarring in left apex 3. Subtle areas of sclerosis and lucency in right glenoid neck, vertebral bodies, iliac blades and left ischium due to metastases.
By alex maclennan, Radiologist
09/24/2011.
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OSTEOID OSTEOMA

Case 308362
MSK › Neoplasm
25 year old male
7 images (CR, MR)
By James Smith, Radiologist
09/24/2011.
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PLASMACYTOMA

Case 48260117
MSK › Neoplasm
58 year old male
5 images (CT, CR)
Plasmacytoma Expansile mixed sclerotic and lytic lesion in the anterior third rib on osseous survey.  No associated soft tissue mass; cortical thinning and breakthrough on CT Plasmacytoma  discrete, solitary mass of neoplastic monoclonal plasma cells in either bone or s … [view case]
By Nick Ludwig, Resident
09/24/2011.
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HEMANGIOMA OF THE SKULL

Case 793543
MSK › Neoplasm
old
6 images (CT, Path)
Gorham's Disease? Expansile lytic lesion involving the left calvarium. Biopsy showed Hemangioma. Differential includes mets, hemangioma, Non ossfying fibroma, Aneurysmal bone cyst, Eosinophilic Granuloma.
By J P, Radiologist
09/24/2011.
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OSTEOID OSTEOMA

Case 92020
MSK › Neoplasm
13 year old male
6 images (CT, CR, MR)
Osteoid osteoma Small lucent lesion in posteromedial proximal femur with adjacent sclerosis. scheduled for ablation
By Dennis Bruce, Radiologist
09/24/2011.
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METASTATIC BONE LESIONS

Case 632468
MSK › Neoplasm
69 year old male
4 CR images
Patient known to have Renal Cell Carcinoma. Now with mets. Permeative lesion in femoral diaphysis with coritical thinning. Lesion also seen in teh R inf and superior pubic ramus.
By J P, Radiologist
09/24/2011.
1 comment
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PROSTATIC CARCINOMA METASTASES ON 80 Y/O XR …

Case 11244913
MSK › Neoplasm
80 year old male
1 CR image
Prostatic carcinoma metastases. 1. Subtle areas of sclerosis in the neck and proximal shaft of the right femur 2. Artifact from plastic buttons on clothing over right pubic rami
By alex maclennan, Radiologist
09/24/2011.
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MYELOMA ON 77 Y/O CXR

Case 3398285
MSK › Neoplasm
77 year old male
2 CR images
Myeloma 1. Widespread tiny lucencies in all bones 2. No other positive findings Field changes involving all bones can be very difficult to spot.
By alex maclennan, Radiologist
09/24/2011.
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METASTATIC BONE DISEASE IN NEUROBLASTOMA

Case 853084
MSK › Neoplasm
old
1 CR image
Neuroblastoma bone metastasis Most common solid abdominal mass of infancy -2nd most common tumor in childhood (Wilms more common in older children) -Peak age 2 years, 25% 1st year, 50% by 2 y.o., 79% by 4 y.o., 97% less than 10 y.o. -Increased catecholamine production in 75-90 … [view case]
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BONE METASTASES FROM BREAST CARCINOMA

Case 4140587
MSK › Neoplasm
36 year old female
7 images (CT, CR, NM)
Bone metastases from breast carcinoma
By Flamur Mushica, Resident
09/24/2011.
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MULTIPLE MYELOMA

Case 1828734
MSK › Neoplasm
55 year old female
1 image
multiple myeloma - Generalized osteoporosis - Multiple vertebral compression fractures, ? paraspinal soft tissue mass upper T-spine - Multiple punched out lytic lesions in visualized skeleton - mild pulmonary interstitial changes MULTIPLE MYELOMA - most common primary ma … [view case]
1 comment
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MULTIPLE MYELOMA / PLASMACYTOMA

Case 461337
MSK › Neoplasm
72 year old male
10 images (CT, CR, MR)
Multiple myeloma / plasmacytoma Radiographs - Cervical spine: Lytic, bubbly lesions in the cervical vertebral body at multiple levels, most predominantly in the mid cervical spine - Chest: 7 cm pleural based mass on the right; rib fracture at the left 10th rib laterally - Humerus: Bubb … [view case]
By Safwan Halabi, Radiologist
09/24/2011.
5.0
1 rating

AVASCULAR NECROSIS OF THE KNEE & MEDULLARY I…

Case 38248
MSK › Other
old
4 MR images
By jin suh, Radiologist
09/24/2011.
Not yet rated

HYPERPARATHYROIDISM

Case 32511791
MSK › Metabolic
old
3 images
By Eduardo Just, Other Physician
09/24/2011.
1.0
1 rating

PAGET'S DISEASE

Case 64781
MSK › Other
60 year old male
3 CR images
paget disease of bone showing multiple phases
By Dennis Bruce, Radiologist
09/24/2011.
2.0
1 rating

PAGET DISEASE

Case 2699385
MSK › Other
old female
2 CT images
paget disease • Pelvis - thickening of ileopectineal line - thickened trabeculae • Femur - lateral curvature of femur - thickened cortex and trabeculations proximally - enlargement and deformity present Etiology: probable viral Age: > 55 YO (higher frequency in no … [view case]
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PAGET DISEASE

Case 15082334
MSK › Other
55 year old
2 images (CT, CR)
Paget's CT scout of the pelvis shows diffuse trabecular thickening in the proximal right femur. The right femus is expanded compared to left. The acetabulum and SI joints are spared. CT image of the pelvis shows the same findings and there is no lytic focus or cortical disruption Findings are diagnostic of Paget disease
By Barti Davan, Other Health Care Professional
09/24/2011.
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LEGG-CALVE-PERTHE'S DISEASE

Case 8184
MSK › Other
5 year old
4 CR images
Not yet rated

OSTEOPOIKILOSIS

Case 2706368
MSK › Other
27 year old female
2 images
27 YOF with history of trauma. Findings were incidentally noted. Osteopoikilosis is an asymptomatic osteosclerotic dysplasia. It is seen in both men and women and may become evident at any age, although its appearance below the age of 3 years is distinctly uncommon. Clin … [view case]
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AVASCULAR NECROSIS OF LEFT FEMORAL HEAD

Case 5258522
MSK › Other
old
2 CR images
AVASCULAR NECROSIS OF LEFT FEMORAL HEAD
By saurabh khandelwal, Radiologist
09/24/2011.
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PAGET'S DISEASE, PELVIS

Case 5338482
MSK › Other
old
7 images (CR, NM)
Paget's Disease (Osteitis Deformans) Fig. 1-3: Whole body bone scan shows diffuse uptake in right superior pubic ramus and ischium extending to the acetabulum. Fig. 4-7: Correlative radiographs show a thickened right iliopectineal line with thick trabeculation and coarsened cortex of … [view case]
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AVN

Case 3965662
MSK › Other
old
4 images (CR, MR)
By Jared Chugg, Resident
09/24/2011.
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AVN

Case 3965646
MSK › Other
old
3 images (CT, CR)
By Jared Chugg, Resident
09/24/2011.
Not yet rated

OSTEOPOIKILOSIS

Case 4844866
MSK › Other
old
8 images (CT, CR, MR, NM)
By elvedin kulenovic, Radiologist
09/24/2011.
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LEFT PERTHES DISEASE ON 4 YEAR OLD XR PLEVIS

Case 5123655
MSK › Other
4 year old female
1 CR image
1. Left Perthes dosease 1. Small, sclerotic and flattened left femoral capital epiphysis
By alex maclennan, Radiologist
09/24/2011.
Not yet rated

LEFT PERTHES DISEASE ON 5 YEAR OLD XR PELVIS

Case 5123676
MSK › Other
5 year old male
1 image
1. Left Perthes disease 1. Small, sclerotic and flattened left femoral capital epiphysis 2. Metaphyseal lucency with a sclerotic margin
By alex maclennan, Radiologist
09/24/2011.
Not yet rated

HIP OSTEOARTHRITIS

Case 14912866
MSK › Inflammatory
65 year old female
1 CR image
HIP ARTHROSIS degeneratives changes in the hip with imporant sclerosis and diminished articular space  clinical features:    - pain on wt-bearing felt in the groin, buttock, or medial thigh;    - trendelenburg gait will decrease mechanical stress on joint and thereby lessen p … [view case]
By Rolando Reyna, Radiologist
09/24/2011.
Not yet rated

OSTEOSARCOMA, DISTAL FEMUR

Case 31772282
MSK › Neoplasm
old
2 CR images
Age and gender unknown, but patient probably in mid-teens, as femoral physis has not completely fused. Permeative lesion of distal femur, with osteoid matrix, sunburst pattern of periosteal reaction and several Codman triangles. The zone of transition is ill-defined.
By Michael Richardson, Radiologist
09/24/2011.
Not yet rated

DISLOCATION OF INTERPHALANGEAL JOINT OF GREA…

Case 4072902
MSK › Trauma
34 year old female
2 CR images
1. dislocation of interphalangeal joint of great toe 1. dislocation of IP joint of great toe
By alex maclennan, Radiologist
09/24/2011.
Not yet rated

TORUS FRACTURE

Case 28258
MSK › Trauma
5 year old female
1 CR image
LEFT WRIST PA/LAT: There is a convex deformity of the cortex of the distal radial metaphysis without significant angulation. This is a type of impaction fracture that occurs in young children and are a result of force applied to elastic immature bone. Torus, which means " … [view case]
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MIDSHAFT FRACTURE ON 44 Y/O XR HUMERUS

Case 3652423
MSK › Trauma
44 year old male
2 CR images
1. fracture midshaft humerus 1. fracture midshaft humerus - comminuted - spiral component midshaft - vertical component proximal shaft
By alex maclennan, Radiologist
09/24/2011.
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INTERCONDYLAR FRACTURE HUMERUS

Case 5445006
MSK › Trauma
old
3 images
Not yet rated

SUPRACONDYLAR FRACTURE IN A 62 YEAR OLD PATI…

Case 32607290
MSK › Trauma
62 year old female
3 CR images
Comminuted supracondylar fracture of the distal humerus with intraarticular involvement and posterior displacement of the medial fragment A comminuted supracondylar fracture of the distal humerus is observed with mild posterior displacement of the medial fragment and intraarticular e … [view case]
By Bryon Thomson, Resident
09/24/2011.
1 comment
4.5
2 ratings

MIDSHAFT RADIUS AND ULNA FRACTURE IN AN 8 YE…

Case 49069562
MSK › Trauma
8 year old
2 CR images
Midshaft fracture of radius and ulna with dorsal angulation Midshaft fracture of radius and ulna with dorsal angulation Repair was performed with flexible intramedullary nailing
By Peter Douglas, Resident
09/24/2011.
Not yet rated

GALEAZZI FRACTURE/DISLOCATION OF THE LEFT FO…

Case 3627519
MSK › Trauma
old
2 CR images
By elvedin kulenovic, Radiologist
09/24/2011.
Not yet rated

CYSTICERCOSIS

Case 2721491
MSK › Other
54 year old male
2 images
Cysticercosis Several ovoid calcifications are noted in the soft tissues of the pelvis. Incidentally no abnormality was present in the barium filled bowel. Soft Tissue Calcification T -> Tumor - tumoral callinosis - synovial osteochondromatosis I -> Inflammat … [view case]
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VERTEBRA PLANA

Case 6340330
MSK › Other
2 year old male
2 CR images
Vertebra plana secondary to EG. AP and lateral images of the spine show vertebra plana of the T11 vertebral body. VERTEBRA   PLANA Marked flattening of a vertebral body is termed vertebra plana. Langerhans cell histiocytosis is the most common cause of vertebra plana. Other … [view case]
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OSTEITIS PUBIS

Case 12030606
MSK › Other
old
1 image
Osteitis pubis is characterised by non-infectious inflammation of the pubic symphysis. The commonest causes are pregnancy/childbirth, high-level athletic activity, urological or gynaecological surgery, trauma and psoriatic arthritis, though the aetiology is sometimes unknow … [view case]
By Edited by Dr Laughlin Dawes, Radiologist
09/24/2011.
Not yet rated

COLLES FRACTURE

Case 49357393
MSK › Trauma
old
1 CR image
By Jeff Thompson, Radiologist
09/24/2011.
1 comment
Not yet rated

MULTIPLE DIFFUSE SCLEROTIC BONE LESIONS

Case 571492
MSK › Neoplasm
56 year old male
1 image (CR, GI)
Metastatic Lung Cancer and Ileus vs. SBO Note diffuse scelortic bone lesions in the pelvis. Differential Diagnosis of Diffuse Sclerotic Bone Lesions * Vascular o infarct (e.g. sickle cell) * Neoplasm o metastatic + prostate … [view case]
By J P, Radiologist
09/24/2011.
Not yet rated

FLUOROSIS

Case 6362624
MSK › Metabolic
old male
7 images (CT, CR, MR)
FLUOROSIS
By saurabh khandelwal, Resident
09/24/2011.
3.0
1 rating

TRANSIENT OSTEOPOROSIS OF THE HIP

Case 12030889
MSK › Other
old
1 image
This middle-aged female patient presented with hip pain. A coronal short-tau inversion recovery (STIR) MR image shows increased signal (bone oedema) within the left femoral head, neck and proximal metaphysis. There is also a small hip joint effusion. A follow-up study at 3 … [view case]
By Edited by Dr Laughlin Dawes, Radiologist
09/24/2011.
Not yet rated

CHILD ABUSE

Case 47018740
MSK › Trauma
5 month old male
5 images (CT, CR)
Non-accidental trauma/child abuse Skeletal survey shows healing fractures of the posterior left second and fifth ribs with callus formation, nondisplaced spiral fracture of the mid left femur and suture diastasis consistent with increased intracranial pressure.  Sagittal views of t … [view case]
09/24/2011.
Not yet rated

Case 48806663

MSK › Iatrogenic
14 year old male
3 images (CR, MR)
Slipped Capital Femoral Epiphysis Mild widening and fuzzy appearance of the right femoral capital physis, compared to the left. Frog-leg view shows slip of the right capital femoral epiphysis. Coronal fluid sensitive MR sequence shows edema in the right physis. The slip is better … [view case]
By ch 147114, Resident
09/24/2011.
Not yet rated

LOWER EXTREMITY CASE 12

Case 22553935
MSK › Other
old
2 CR images
Click on figure 2 below. ACETABULUM CENTRAL FRACTURE w/ DISLOCATION X-RAY shows a comminuted fracture of the acetabulum with medial displacement of the femoral head. The weight bearing surface of the acetabulum appears to be intact. Fractures of the left pubic rami also seen. Treatment: Closed tra … [view case]
By Mark Levental, Radiologist
09/24/2011.
Not yet rated