Transcript No Slide Title

2005-2006
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Sailaja Yadavalli
Hubert Chin
Raymond Hong
Nisha Patel
Weiling Chang
Charles (Chuck) Kenney
Arash Tehranzadeh
Tyler Crawford
Crispina Han
Jong Liu
Alison M. Nguyen
Noaman Siddiqi
Shelly Marette
Imtiaz Ahmed
Charles Kenney
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45 y/o male with shoulder pain
Coronal T2Fsat
OblSag T2Fsat
‫ا ا‬
‫ا‬
SLAP 6
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Unstable flap
tear of the
superior labrum
Charles Kenney
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6 y/o boy
injury while wrestling with brother
6 y/o boy
injury while wrestling with brother
6 y/o boy
injury while wrestling with brother
6 y/o boy
injury while wrestling with brother
STIR Coronal
6 y/o boy
injury while wrestling with brother
T1 Coronal
6 y/o boy
injury while wrestling with brother
T1
T2 Fsat
Post Gad
6 y/o boy
injury while wrestling with brother
2 month and 4 month F/U
Osteofibrous Dysplasia with Pathologic Fracture
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Rare fibroosseus lesion of bone
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Primarily involves the cortex, multiple lytic
expansile lesions with intervening sclerosis, bowing
deformity
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Most common in tibia--reports of fibula, ulna,
radius, humerus
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Young children <10 yrs
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Continuum with adamantinoma, ossifying fibroma
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Unpredictable natural history
Sailaja Yadavalli MD, PhD
William Beaumont Hospital, Royal Oak, MI
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57 year old female with painful bump
along distal leg
No history of trauma
57 year old female with painful bump along distal
leg. No history of trauma
Very superficial mass
associated with a tubular
structure with flow within
57 year old female with painful bump along distal
leg. No history of trauma
Cor T1
Ax STIR
Ax T1FS/Gd
57 year old female with painful bump along distal
leg. No history of trauma
Cor T1
Cor STIR
Cor T2
Cor T1FS/Gd
Vascular Leiomyoma
path proven
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AKA Angioleiomyoma or Angiomyoma
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Usually in adults - fourth to sixth decade
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F>M
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89% - 94% in the extremities
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Lower extremity more common
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Slow growing small subcutaneous mass
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Often painful
Sailaja Yadavalli MD, PhD
William Beaumont Hospital, Royal Oak, MI
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52 year old african american male
who felt a pop in his left leg and pain
Comes to the Emergency Center
Has history of thigh swelling for
several years
History of Factor IX deficiency
52 AAM who felt a pop in his left leg and pain
History of thigh swelling for several years
History of Factor IX deficiency
11/2006
Findings
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Fracture of left distal femur
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Well defined lucent lesion at fracture
site
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Remodeling of femur
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Significant soft tissue swelling
52 AAM who felt a pop in his left leg and pain
History of thigh swelling for several years
History of Factor IX deficiency
07/2002
52 AAM who felt a pop in his left leg and pain
History of thigh swelling for several years
History of Factor IX deficiency
06/2006
52 AAM who felt a pop in his left leg and pain
History of thigh swelling for several years
History of Factor IX deficiency
06/2006
52 AAM who felt a pop in his left leg and pain
History of thigh swelling for several years
History of Factor IX deficiency
11/2006
52 AAM who felt a pop in his left leg and pain
History of thigh swelling for several years
History of Factor IX deficiency
11/2006
Findings
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Fracture of left distal femur
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Well defined intramedullary lesion at
fracture site
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Remodeling of femur
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Multiple masses in the thigh, some with
fluid-fluid levels
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Similar masses seen on both sides on prior
x-rays and CT studies
52 AAM who felt a pop in his left leg and pain
History of thigh swelling for several years
History of Factor IX deficiency
Cor STIR
Cor T1
Cor T1FS/Gd
11/2007
52 AAM who felt a pop in his left leg and pain
History of thigh swelling for several years
History of Factor IX deficiency
Ax STIR
Ax T1 FS
Ax T1
Ax T1 FS/Gd
11/2007
52 AAM who felt a pop in his left leg and pain
History of thigh swelling for several years
History of Factor IX deficiency
Above level of
fracture
Ax STIR
Ax T1
Hematomas of
different ages
11/2007
52 AAM who felt a pop in his left leg and pain
History of thigh swelling for several years
History of Factor IX deficiency
Sag T1FS/Gd
11/2007
Findings
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Fracture of left distal femur
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Multiple hematomas with blood
products of different ages in the thigh
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No significant enhancement of the
intramedullary lesion at fracture site
ORIF and Biopsy
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Intramedullary chronic hematoma
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Chronic hematomas in the thigh
Arash Tehranzadeh
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48 year old male with ankle pain.
Patient has renal failure and is on
dialysis.
48 year old male with ankle pain. Patient has
renal failure and is on dialysis.
48 year old male with ankle pain. Patient has
renal failure and is on dialysis.
Findings: Tibial cyst without osteoarthrits.
DDX: Brown Tumor vs. Giant cell
Arash Tehranzadeh
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Professional football player with acute
ankle injury
Professional football player with acute ankle
injury
Professional football player with acute ankle
injury
Professional football player with acute ankle
injury
Findings: Acute near complete Achilles tendon tear.
Arash Tehranzadeh
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22 year old professional basketball
player for LA Lakers with foot/ankle
acute inversion injury during game.
22 year old basketball player for LA Lakers with
foot/ankle acute inversion injury during game.
22 year old professional basketball player
for LA Lakers with foot/ankle acute inversion
injury during game.
Findings: Anterior talo-fibular ligament tear.