Case of the week for 10/25/20

History: Abdominal mass.
What kind of study is this? Sulfur colloid scan
What is the most likely diagnosis? Spenule adjacent to the spleen.
What would you recommend to do next? No further workup indicated.

Case of the week for 10/18/20

History: Back pain.
What is the differential diagnosis? Curvilinear right rib cortically active lesion: Differential includes most likely metastatic disease, fibrous dysplasia, and Paget’s disease.
What would you recommend to do next? Plain film of the chest.

Case of the week for 10/11/20

History: Wrist pain.
What is the diagnosis? Minimally displaced pisiform fracture.
How is the most common mechanism? Direct trauma to the volar ulnar aspect of the wrist, or a chip avulsion caused by the pull of the flexor carpi ulnaris against strong hyperextension of the wrist. (1)

Case of the week for 10/4/20

History: Testicular pain.
What is the most likely diagnosis? tunica aluginea discontinuity consistent with a testicular rupture.
How should you manage this case? Consult with pediatric surgery.