Case of the Week from 1/30/2022
History: Status post trauma. Headache.
What are the findings (eye test)? Hyperdense nodular possibly hemorrhagic cerebellar mass abutting the 4th ventricle.
What is the differential diagnosis? Metastatic disease with possible hemorrhage, ependymoma, lymphoma, astrocytoma, inflammatory mass. (needs MRI for further characterization)
Case of the Week from 1/23/2022
History: Knee pain.
What are the findings and diagnosis? Ruptured patellar tendon with transervse fracture through the inferior patellar pole.
How is it treated? Reattachement of the patellar tendon. Wire/band fixation of the inferior patellar pole.
Case of the Week from 1/16/2022
History: Chest pain
What are the findings (eye test)? Mid body sternal fracture with slight discontinuity on the axial series.
What can you do to confirm the diagnosis that may be causing the symptoms? Get a sagittal reconstruction.
Case of the Week from 1/9/2022
History: Foot pain.
What are the findings? Edema at the 1st metatarsal head with some linear components.
What is the most likely diagnosis? Early stress fracture.
What do you tell the covering physician to do next? Conservative management/splinting) with follow up plain film. (make sure to lay off of sports/heavy activities)
Case of the Week from 1/2/2022
History: History of prostate cancer.
What are the findings? Diffusely increased heterogeneous skeletal uptake with absent soft tissue and renal uptake.
What is the most likely diagnosis? Superscan/metastatic disease. Other etiologies include lymphoma, myeldysplasia, and metabolic bone disease.
What is the clinical significance of this diagnosis? Widespread infiltrative cortically active osseous process. Can be missed if not focal.
