Posts Categorized: MSK

A meniscus case with some dangerous verbiage

This 12-year-old female presents with left knee pain, and the clinician alleges meniscal tear. The initial read was noncommunicating tear, but is this the proper call? You are shown four gradient echo sagittal water-weighted images and one sagittal T1.   No, this was not the proper call! Save the whales and the menisci. It’s a… Read more »

Elbow: No known injury-but missing component of lateral stabilizers

This 65-year-old presents for an elbow MRI with no known injury. Can you name the components of lateral stabilizers and what is missing? Let the arrows be your clue.   Dynamic stabilizers are musculotendinous extensors and these are ruptured from their origin. Static stabilizers include: Lateral ulnar collateral ligament- intact (LUCL – double arrows, image… Read more »

Known tibia diagnosis, but still questions about management

This 13-year-old presents with a tibia lesion. You know the diagnosis. What should you do to recommend management? The diagnosis is osteoid osteoma. Treat the pain with aspirin or anti-inflammatory agents. But, these lesions will burn out and should not be lasered, removed, etc. Save the whales! Save the shins of our children! Leave osteoid… Read more »

White Blob Around ACL?

What does the mass “white blob” around the ACL imply in this case? Come up with your own answer, then scroll down to see my findings. Of course lesion is bright (except on T1), smooth oval and therefore cyst (actually a ganglion pseudocyst). Some refer to this as mucoid lesion of the ACL. ProScan Pearl:… Read more »

What is the underlying disease?

Sometimes the history can change everything when it comes to evaluating a case. I wanted to show you one such example. Before you look at my findings, be sure to come up with your own answer for what you think is this patient’s underlying disease. Case History: 74-year-old with swollen toe. What is the underlying… Read more »

Guess that sport pulley tear

Guess that sport – MRI Case Review with Dr. Pomeranz At ProScan, we specialize in sports injuries. We regularly read for professional sports organizations in the NFL, NHL and more. We review LOTS of MRI sports injury cases. If you read MRI, or want to read more of it, chances are you see a lot of… Read more »