Case of the Week From 2/27/22

History: Sports injury. Pain.
What is the diagnosis? Hamate fracture (dorsal type)
What percent of all wrist injuries is this diagnosis? 2-4 % of all wrist fractures
What is this injury associated with? Metacarpal dislocation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Case of the Week From 2/20/22

History: Decreased appetite and abdominal pain. Rule out appendicitis.
What are the relevant findings? Multiple masses with low density centers within the retroperitoneum. Pulmonary parenchymal nodularity.
What is the differential diagnosis? TB, fungal, lymphoma/leukemia, metastatic disease, sarcoidosis, celiac sprue
What is most likely? Low density centers with pulmonary disease most likely suggest TB/fungal etiology

 

Case of the Week From 2/13/22

History: Abdominal pain.
What has changed between the two studies? New cholecystectomy on today’s study. Fluid in the region of the cholecystectomy bed. New adjacent edema surrounding the left hepatic lobe cyst near the bed with increased enlargement of the hepatic cyst.
What is the differential diagnosis? Biloma with adjacent reactive changes within the liver/cyst, biloma with leakage into the hepatic cyst, or post surgical/reactive changes, edema, and fluid.

5 days prior

 

Today

 

Case of the Week From 2/6/22

History: Abdominal pain. Enlargement of the common bile duct on ultrasound (as shown below)
What are the findings on the subsequent CT scan?  Curvilinear density around duodenal bulb, possibly contrast or post surgical sutures
What is the most likely diagnosis? Artifact related to contrast in duodenum or post surgical changes. Normal common bile duct.

Initial Ultrasound

Subsequent CT scan.