Case of the Week From 8/29/21
History: Wrist pain.
What is the anatomical structure of abnormality? Flexor carpi radialis
What is the most likely diagnosis? Tenosynovitis of the flexor carpi radials
What is the treatment? immobilization, NSAIDs, injections, and rarely release of the tendon sheath.
Case of the Week From 8/22/21
History: Knee pain with extension.
What are the relevant findings? Thickening of the quadraceps tendon with increased signal. Knee joint effusion.
What is the most likely diagnosis? Most likely a chronic partial tear with possible subacute component.
What is the treatment? Brace and physical therapy.
Case of the Week From 8/15/21
History: Knee pain.
What are the relevant findings? Enlargement of the lateral meniscus, present on at least 3 slices.
What is the most likely diagnosis? Discoid lateral meniscus
What are the complications? Early osteoarthritis, meniscal tears
Case of the Week From 8/8/21
History: Seizures.
What are the findings? Hypodense mass centered at the cerebellar vermis in a pediatric brain.
What would you recommend next? Contrast enhanced MRI of the brain.
What is the most likely differential diagnosis? Medulloblastom, ependymoma, or astrocytoma.
Case of the Week From 8/1/21
History: History of scleroderma.
List all the findings that in this patient that can prognosticate a poor outcome: Significant enlargement of the main pulmonary artery, Significantly enlarged right ventricle with compression of the left atrium, reflux of contrast into the IVC, pulmonary parenchymal disease, pericardial thickening,
Out of these findings, which ones are the most significant? Findings of right heart failure, especially enlargement of the right ventricle with compression of the left atrium- indicated significant chronic pulmonary hypertension (possibly related to scleroderma)
