2005-2006• 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

• 45 y/o male with shoulder pain

Coronal T2Fsat

ا ااا

OblSag T2Fsat

SLAP 6

• Unstable flap tear of the superior labrum

Charles Kenney

• 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

T1 T2 Fsat Post Gad

6 y/o boy injury while wrestling with brother

2 month and 4 month F/U

6 y/o boy injury while wrestling with brother

Osteofibrous Dysplasia with Pathologic Fracture

• Rare fibroosseus lesion of bone

• Primarily involves the cortex, multiple lytic expansile lesions with intervening sclerosis, bowing deformity

• Most common in tibia--reports of fibula, ulna, radius, humerus

• Young children <10 yrs

• Continuum with adamantinoma, ossifying fibroma

• Unpredictable natural history

Sailaja Yadavalli MD, PhDWilliam Beaumont Hospital, Royal Oak, MI

• 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

Ax STIR

Ax T1FS/Gd

Cor T1

57 year old female with painful bump along distal leg. No history of trauma

Cor T1 Cor STIR Cor T1FS/GdCor T2

57 year old female with painful bump along distal leg. No history of trauma

Vascular Leiomyomapath proven

• AKA Angioleiomyoma or Angiomyoma

• Usually in adults - fourth to sixth decade

• F>M

• 89% - 94% in the extremities

• Lower extremity more common

• Slow growing small subcutaneous mass

• Often painful

Sailaja Yadavalli MD, PhDWilliam Beaumont Hospital, Royal Oak, MI

• 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

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

Findings

• Fracture of left distal femur

• Well defined lucent lesion at fracture site

• Remodeling of femur

• Significant soft tissue swelling

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

52 AAM who felt a pop in his left leg and pain History of thigh swelling for several years

History of Factor IX deficiency

Findings

• Fracture of left distal femur

• Well defined intramedullary lesion at fracture site

• Remodeling of femur

• Multiple masses in the thigh, some with fluid-fluid levels

• Similar masses seen on both sides on prior x-rays and CT studies

11/2007

Cor STIR Cor T1 Cor T1FS/Gd

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 T1 FS

Ax STIR 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

11/2007

Ax STIR

Ax T1

Above level of fracture

Hematomas of different ages

52 AAM who felt a pop in his left leg and pain History of thigh swelling for several years

History of Factor IX deficiency

11/2007Sag T1FS/Gd

52 AAM who felt a pop in his left leg and pain History of thigh swelling for several years

History of Factor IX deficiency

Findings

• Fracture of left distal femur

• Multiple hematomas with blood products of different ages in the thigh

• No significant enhancement of the intramedullary lesion at fracture site

ORIF and Biopsy

• Intramedullary chronic hematoma

• Chronic hematomas in the thigh

Arash Tehranzadeh

• 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

• 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

• 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.