Saturday, February 21, 2009
Monday, February 16, 2009
Opinion- Osseous destruction & marrow edema involving the elbow articulation with fluid collection & soft tissue edema likely infective etiology (Likely tubercular).
Thursday, February 12, 2009
Radiologic evaluation is utilized to confirm the diagnosis and estimate the degree of spinal instability. Os odontoideum appears as a round or oval ossicle with a smooth, uniform cortex separated from the base of the axis by a wide gap. The ossicle border does not directly match up with the axis body. The gap separating the os and the axis proper should lie above the level of the superior articular facets.
Wednesday, February 11, 2009
Tuesday, February 10, 2009
Opinion- On treatment follow up case of TB left hip reveals:- Erosions involving the acetabulum & femoral head with minimal marrow edema and patchy sclerosis in left hip with synovial collection & fluid signal in ilio psoas bursa. Findings are consistent with partially treated tubercular hip.
Friday, February 06, 2009
FINDINGS--There is evidence of mild subluxation at the glenohumeral joint with cranial migration of humeral head. Also noted in fluid distension involving the joint capsule with joint capsule laxity.
There is evidence of altered signal intensity involving the anteroinferior glenoid labrum suggestive of avulsion tear. Altered marrow signal is noted in inferior glenoid rim. Posterior glenoid labral rim is rolled up. Fluid is noted along the biceps tendon. Rotator cuff muscles including subscapularis & infraspinatus appears lax & show mild reduction in bulk. No obvious rotator cuff tear is identified. Bony defect is noted in the posterosuperior aspect of humeral head. There is fluid is subcoracoid bursa. Acromial process seen normally with reduced acromio- humeral space. Acromio clavicular joint is normal.
Wednesday, February 04, 2009
Monday, February 02, 2009
Findings-There is evidence of significant synovial collection involving the knee joint distending the suprapatellar bursa with inhomogeneous appearance with septae & areas of haemosiderin deposition seen as signal suppression on GRE. There is evidence of erosive destruction involving the tibio-femoral & patello-femoral articulation. Secondary degenerative changes noted in the tibio-femoral & patello-femoral articulation with reduction in joint space. Areas of marrow edema noted in knees in relation to bones forming the knee joint appearing hyperintense on T2 fat sat images. Anterior cruciate ligament is not well seen. Posterior cruciate ligament is stretched but intact. Internal architecture of the knee is distorted with haemosiderin deposition in relation to synovium.
Opinion-Significant synovial collection involving the knee joint & suprapatellar bursa with extensive haemosiderin deposition, erosive arthropathy involving tibiofemoral & patellofemoral articulation with marrow edema involving the bones surrounding knee joint, distorted internal architecture of knee. Likely suggestive of sequelae of long standing hemarthrosis. Patient is a known case of hemophilia. Consistent with hemophilic arthropathy.
Dr.Sumer K Sethi, MD
Sr Consultant Radiologist ,VIMHANS and CEO-Teleradiology Providers
Sunday, February 01, 2009
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