This Week’s Case of the Week For 10/27/19:
History: Foot pain. History of osteomyelitis 2 months ago.
What has changed in the interim between the two studies? Osteolysis of the proximal and distal phalanx of the 1st digit has mostly remineralized with some residual osteolytic change near the IP joint.
What is the differential diagnosis? Healing osteomyelitis. ? residual acute on chronic osteomyelitis/septic arthritis at the IP joint.
How do you manage this case? It can be clinically managed or recommend a tagged white blood cell scan or contrast-enhanced foot MRI for further characterization.
1st image: 2 months ago
2nd image: now
This Week’s Case of the Week For 10/20/19:
History: History of breast cancer. Recent chemotherapy
What has changed in the interim between the two studies? New diffuse increased bilateral pulmonary uptake with improved hypermetabolic nodes/disease
What is the most likely diagnosis? Chemotherapy-induced pulmonary inflammation.
Two Months Ago
Now
This Week’s Case of the Week For 10/13/2019:
History: Wrist pain.
What are the findings? Irregularity and fragmentation of the distal pole of the pisiform
What is the diagnosis? Comminuted non-displaced fracture of the distal pisiform (likely avulsion)
How common is this? 1-3% of all carpal bone fractures (pretty rare!)
This Week’s Case of the Week From 10/6/2019:
History: Erratic behavior.
What are the findings? Expansile heterogeneous mass centered in the pontine parenchyma in a child.
What is the differential diagnosis? brain stem glioma, acquired demyelinating disorders, infectious brain stem encephalitis, rhombencephalitis, CNS involvement of connective tissue disorders and other vasculitides, brain stem ischemic lesions, brain stem vascular anomalies, and, metabolic disease.
What is the most likely diagnosis? Pontine glioma (Also path proven diagnosis!)
