Case of the Week From 6/25/23

History: Knee pain.
What are the findings, diagnosis, and most likely cause of the injury? Increased edema and fluid signal replacing the distal muscle and myotendinous junction of the popliteus coincident with a myotendinous strain. Most likely cause is overextension and sideways injuries of the knee.
What are the most common symptoms? Pain at the back of the knee. Pain with bending of the knee. Pain with straightening of the knee.
What are the treatment options? Rest. Cold, Knee Supports. NSAIDS. Exercise

Case of the Week From 6/18/23

History: Headache
What are the findings and differential diagnosis? Avidly enhancing lobulated mass at the cerebellopontine angle protruding into the internal acoustic canal. Dural tail is present.
What is the most likely diagnosis? Meningioma, given dural tail. Acoustic neuromas, however, are the most common at this location.
What are the treatment options? Observation, radiation therapy, or surgery.

Case of the Week From 6/11/23

History: Pelvic pain.
What is the most likely diagnosis? Adenomyosis of the uterus.
What MRI findings make this diagnosis? Junctional greater than 1 cm in thickness.
How is this disease managed? Hormonal therapy, anti-inflammatories, and hysterectomy (if refractory to other treatment)

Case of the Week From 6/4/23

History: Chest pain.
What are the findings? Nodular/tubular opacities adjacent to hyperlucent lug with in the right lower lobe.
What is the most likely diagnoses and management?  Most likely related to bronchial atresia. Management: Usually don’t touch. Although if there is atypical growth or other atypical findings that suggests the possibility of malignancy (i.e. carcinoid), wedge resection could be performed.