This Week’s Case of the Week 8/25/19: History: Status post-trauma. What are the key findings? An abnormal fragmented sesamoid bone adjacent to the 1st MCP joint. ? Minimal adjacent soft tissue swelling. What is the most likely diagnosis? Minimally displaced comminuted fracture of the sesamoid bone, likely avulsion type. How should you manage this case? Correlate with patient’s site of symptoms. Followup study may be helpful to confirm diagnosis and healing.

This Week’s Case of the Week 8/18/19

History: Status post-trauma.
What are the key findings? Small to moderate hemoperitoneum. Enhancing ruptured vessel in the left abdomen anterior and inferior to the spleen with blush on post-contrast imaging only anterior to the spleen.
What is the most likely diagnosis? Arterial rupture/bleed from a ruptured left upper quadrant colic vessel related to recent trauma. (Confirmed by surgery! Difficult case…)

This Week’s Case of the Week 8/11/2019

History: Neck Pain.
What are the key findings? Multilevel flowing syndesmophytes at the anterior longitudinal ligament, corner erosions of the vertebral bodies.
What is the most likely diagnosis? Ankylosing spondylitis

This Week’s Case of the Week 8/4/2019:
History: Reflux
What is the key finding? Sclerosis of the anterior arch of C1
What is the most likely diagnosis? A normal congenital variant of the anterior arch of C1.
What is the next step in management? Don’t Touch! Normal Variant. See Keats.