Case 29-18 yo/M patient with left hip discomfort

Patient presents with left groin discomfort. 18 yo/M – the left-handed baseball player with left hip discomfort of 2 weeks duration.  Worsening of signs & symptoms. No prior corticosteroid/opioid regimen or carcinoma is reported.

Case 28-Non-specific lower back discomfort.

47 yo/female presents complaining of non-specific lower back discomfort. No prior red flags.    What do you see?     The AP view of the lumbar spine shows a curvi-linear density superimposed on the proximal sacrum. The latearal view shows the cyst/mass like density to be intra-peritoneal in location which measured 9.3 cm. in transverse […]

Case 27-52 yo/F patient with neck discomfort.

52 yo/F patient presents with neck discomfort. No prior trauma, corticosteroid/opioId regimen or carcinoma is reported. Dental surgery is reported. What do you see? AP-LC VIEW AP-OM VIEW Multiple intramedullary screws are seen at the mandibular angles – best seen on the AP-OM view. The lateral view shows the intra-medullary screws again. This is the […]

Case 26-60 yo/M patient with neck discomfort & LBP.

60 yo/M patient presents with neck discomfort & LBP. No prior trauma, corticosteroid/opioId regimen or carcinoma is reported. AS has been diagnosed. What do you see? AP & LATERAL VIEWS OF LUMBAR SPINE. Non-visualizaton of the SI joints is the first clue that AS is present. The lateral view shows the classic syndesmophyte formation, discal […]

Case 25-patient with neck discomfort

Patient presents with neck discomfort. No prior trauma, corticosteroid/opiod regimen or carcinoma is report. Prior neck surgery is noted.  What do you see? AP-LC VIEW Aortic knob & mid thoracic spondylosis is present. The closeup examination shows a vertical tubular mesh-like density adjacent to the left C1-2 facet joint. This is DACRON sleeve insertion into the […]

Case 24-patient with left wrist discomfort

Patient presents with left  wrist discomfort after a FOOSH type injury.  No prior surgeries,  carcinoma  or corticosteroid/opioid regimen reported. What do you see? PA VIEW OF LEFT WRIST A close up examination shows a horizontal radiolucency at the base of the left scaphoid. Degenerative change is seen at the distal portion of the radioscaphoid joint […]

Case 23-patient with left wrist discomfort.

Patient presents with left  wrist discomfort after a FOOSH type injury.  No prior surgeries,  carcinoma  or corticosteroid/opioid regimen reported. What do you see? A semi-lunar density is seen where the normal left ulnar styloid process should normal be. Malunion or non-union of the ulnar styloid process is common after FOOSH injury. Associated triangular fibrocartilage injuries […]

Case 22-patient with left hand discomfort.

Patient presents with left hand discomfort after a FOOSH type injury.  No prior surgeries, carcinoma or corticosteroid/opioid regimen reported. What do you see? The shaft of the left 5th MC shows a transversely oriented fracture line with impaction. No comminution is detected. Soft tissue swelling is present adjacent to the shaft. The 5th. MCP and […]