Thursday, October 23, 2008
Tibial Avulsion Fracture in Child
A 9 year old with an avulsion fracture at the ACL insertion and a Salter Harris type III lateral tibial fracute. Tibial avulsion fractures are more common that ACL tears in under 12's. The anterior intercondylar eminence fracture is analogous to an injury to the ACL in the skeletally mature individual.
Radiology. 1999;213:697-704
AJR 2005; 185:756-762
Lymphocytic Hypophysitis
T1 post Gd pre treatment.
T2 pre treatment
T1 pst Gd post 1 month steroid Rx.
Tuesday, October 21, 2008
Wiimote and Radiology
This is not a Radiology Case, but ....
In view of the ergonomic stresses imposed on radiologists with the advent of PACS, some people are investigating other ways to interact with a PACS platform.
Wednesday, October 15, 2008
Cubital Tunnel Syndrome
Note medial olecronon osteophyte on T1 ? related to the ulnar neuritis in this case.
Monday, October 13, 2008
Penetrating Descending Thoracic Aortic Ulcer
An 87 year old man presented with epigastric and interscapular pain.
Note the anterior penetrating ulcer of the descending thoracic aorta and the long segment circumferential intramural haematoma. This progressed to frank leakeage over the next few days and was finally stented. This patient has a AAA too.
Good article here: http://radiographics.rsnajnls.org/cgi/content/full/20/4/995
Good summary here: http://www.learningradiology.com/notes/cardiacnotes/penetratingulcerpage.htm
Thursday, October 9, 2008
Focal Nodular Hyperplasia
T2FS (hyperintense stellate scar)
T2
T1 post Multihance
Delayed T1 post Multihance (contrast retention)
35 year old female.
Monday, October 6, 2008
Anterior Labral Tear
A 50 year old lady with hip pain. There is an anterior labral tear with a tiny associated paralabral cyst. Note filling of the iliopsoas bursa on the arthrogram. This bursa communicates with the hip joint in 15% of people. (http://www.ajronline.org/cgi/reprint/185/3_supp/S186.pdf)
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