Cases

74M w/ pain.  Outside x-ray noted a tibial “lesion”.  Sent for CT to further evaluate. Findings:  ~5.3 cm long well-defined, lucent medullary bone lesion of the proximal tibia with a narrow zone of transition to normal bone, areas of sclerotic borders, and lack of endosteal/cortical destruction (all benign features).  Internal density of lesion is mainly […] Read More >

CT shows dusky SB enhancement with some irregular mesenteric swirling with mesenteric edema around the “dusky” loops. DX: SB ischemia succesfully treated with emergent surgery, no SB resection needed. Take home point is don’t let the age of the pt fool you.

Clinical: 31 y/o male with shoulder pain and weakness. Dx: Extensive labral tear involving the superior, posterosuperior, posterior, and inferior labrum which includes superior and posterior labral detachment.  There is a large paralabral ganglion cyst extending medially from the posterosuperior glenoid into the spinoglenoid notch and suprascapular notch.  There is associated acute denervation of the […] Read More >