Friday, 30 October 2009

Arachnoid cyst

Incidental arachnoid cyst, unusual location though.

Thursday, 29 October 2009

Neurofibromatosis type 2


 

 


Left acoustic neuroma and multiple meningiomas

Wednesday, 28 October 2009

Pistol grip deformity

A very good example of bilateral pistol grip deformity of femoroacetabular impingement.


 

Osteochondral injury

Lateral knee radiograph showing a large osseous loose body in the suprapatellar pouch. AP view shows a similar sized osteochondral defect in the lateral femoral condyle.

Tuesday, 27 October 2009

Sacroilitis

Asymmetric sacroilitis in ankylosing spondylosis

Scaphoid fracture

Scaphoid views 10 days following injury also failed to show the fracture. Digital tomosynthesis (volumerad) shows fracture line clearly.

Ankylosing spondylosis

Fused SIJs and dagger sign on AP view of the abdomen.

Friday, 23 October 2009

Transitional cell carcinoma of renal pelvis

Right renal ppelvis transitional cell carcinoma

Staghorn calculus

Pelvic radiohraph for trauma. No history of contrast examination in past. Incidental asymptomatic staghorn calculus.

Lisfranc's fracture dislocation

Plain film showing Lisfran'c dislocation:



See the lines not aligned as shown in this image:



CT shows fractures of bases of 2nd, 3rd, and 4th metatarsals:

Thursday, 22 October 2009

ICA aneurysm

ICA gaint aneurysm, presented with acute headache, diplopia, and reduced sensation of face

Wednesday, 21 October 2009

Long transverse process of L5

Long L5 transverse process with pseudoarticulation

Advanced chondrocalcinosis

Advanced chondrocalcinosis with osteoarthritis

Osteochondroma

This is the smallest osteochondroma I have seen so far. It was in the tibia.

Tuesday, 20 October 2009

Sacral metastasis

Lateral sacral view showing subtle loss of definition of posterior vertebral line:



For comparison, I have put a normal radiograph showing crisp posterior margin of the sacral body:



Sagittal T1 MRI, showing the metastases.

Sacral metastases causing cauda equina

Sagittal T1, T2 and STIR, and axial T1 and T2

MR artefact



What kind of artefact is it?

Multiple myeloma with pathological fracture

Plain film:


Magnified image showing myeloma deposits:



AP view showing periosteal reaction possibly secondary to periosteal reaction:




MR showing the same findings:

 

Liver Abscess

Venous phase CT:



Delayed Phase CT:


Ultrasound reduces the differentials and points to the diagnosis of abscess:

Hyperostosis Frontalis Interna



Incidental hyperostosis frontalis interna

Monday, 19 October 2009

Fracture scaphoid

Plain film: no fracture




CT: 10 mm reconstruction - no fracture seen



CT: Oblique sagittal reconsturction of 0.6mm shows undisplaced fracture