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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 […]

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 […]

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 […]

Case 21-patient with wrist discomfort.

Patient suffered prior FOOSH type injury.  No prior surgeries,  carcinoma  or corticosteroid/opioid regimen reported. What do you see? A cannulated screw transfixes the  waist scaphoid fracture. This is a common treatment for internal fractures with > 1. 5 mm. displacment.  (2) As the majority of the scaphoid (8)%) is covered with articular cartilage, entry points […]

Case 16- 45yo/M with “deep” lower back discomfort.

45 yo/M patient presents with “deep” LBP. No prior trauma, surgeries,  carcinoma  or corticosteroid/opioid regimen reported. What do you see? Lateral lumbar spine view The sagittal dimension of the abdominal aorta measures 4.4 cm. well beyond the accepted normal measurement of 3-3.5 cm. (1) The radiodensity seen superimposed the VB is in soft tissue. The […]

Case 20-patient with right 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 14-patient with right shoulder discomfort.

Patient presents with right shoulder discomfort discomfort after a FOOSH type injury. Limited ROM is noted.  No prior surgeries,  carcinoma  or corticosteroid/opioid regimen reported. What do you see? Cortical incongruity is present on the medial side of the right surgical neck. Extensive HBO is seen medial and pseudo- periosteal reaction is seen at the lateral […]