2005-2006

1. 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

2. Charles Kenney • 45 y/o male with shoulder pain

3. Coronal T2Fsat

4. OblSag T2Fsat ا ا ا ا

5. SLAP 6 • Unstable flap tear of the superior labrum

6. Charles Kenney • 6 y/o boy injury while wrestling with brother

7. 6 y/o boy injury while wrestling with brother

8. 6 y/o boy injury while wrestling with brother

9. 6 y/o boy injury while wrestling with brother STIR Coronal

10. 6 y/o boy injury while wrestling with brother T1 Coronal

11. T1 T2 Fsat Post Gad 6 y/o boy injury while wrestling with brother

12. 2 month and 4 month F/U 6 y/o boy injury while wrestling with brother

13. 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

14. Sailaja Yadavalli MD, PhDWilliam Beaumont Hospital, Royal Oak, MI • 57 year old female with painful bump along distal legNo history of trauma

15. 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

16. 57 year old female with painful bump along distal leg. No history of trauma Cor T1 Ax STIR Ax T1FS/Gd

17. 57 year old female with painful bump along distal leg. No history of trauma Cor T1 Cor STIR Cor T2 Cor T1FS/Gd

18. 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

19. 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 yearsHistory of Factor IX deficiency

20. 52 AAM who felt a pop in his left leg and pain History of thigh swelling for several yearsHistory of Factor IX deficiency 11/2006

21. Findings • Fracture of left distal femur • Well defined lucent lesion at fracture site • Remodeling of femur • Significant soft tissue swelling

22. 52 AAM who felt a pop in his left leg and pain History of thigh swelling for several yearsHistory of Factor IX deficiency 07/2002

23. 52 AAM who felt a pop in his left leg and pain History of thigh swelling for several yearsHistory of Factor IX deficiency 06/2006

24. 52 AAM who felt a pop in his left leg and pain History of thigh swelling for several yearsHistory of Factor IX deficiency 06/2006

25. 52 AAM who felt a pop in his left leg and pain History of thigh swelling for several yearsHistory of Factor IX deficiency 11/2006

26. 52 AAM who felt a pop in his left leg and pain History of thigh swelling for several yearsHistory of Factor IX deficiency 11/2006

27. 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

28. 52 AAM who felt a pop in his left leg and pain History of thigh swelling for several yearsHistory of Factor IX deficiency Cor STIR Cor T1 Cor T1FS/Gd 11/2007

29. 52 AAM who felt a pop in his left leg and pain History of thigh swelling for several yearsHistory of Factor IX deficiency Ax T1 Ax STIR Ax T1 FS Ax T1 FS/Gd 11/2007

30. 52 AAM who felt a pop in his left leg and pain History of thigh swelling for several yearsHistory of Factor IX deficiency Above level of fracture Hematomas of different ages Ax STIR Ax T1 11/2007

31. 52 AAM who felt a pop in his left leg and pain History of thigh swelling for several yearsHistory of Factor IX deficiency Sag T1FS/Gd 11/2007

32. 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

33. ORIF and Biopsy • Intramedullary chronic hematoma • Chronic hematomas in the thigh

34. Arash Tehranzadeh • 48 year old male with ankle pain. Patient has renal failure and is on dialysis.

35. 48 year old male with ankle pain. Patient has renal failure and is on dialysis.

36. Findings: Tibial cyst without osteoarthrits. DDX: Brown Tumor vs. Giant cell 48 year old male with ankle pain. Patient has renal failure and is on dialysis.

37. Arash Tehranzadeh • Professional football player with acute ankle injury

38. Professional football player with acute ankle injury

39. Professional football player with acute ankle injury

40. Findings: Acute near complete Achilles tendon tear. Professional football player with acute ankle injury

41. Arash Tehranzadeh • 22 year old professional basketball player for LA Lakers with foot/ankle acute inversion injury during game.

42. 22 year old basketball player for LA Lakers with foot/ankle acute inversion injury during game.

43. 22 year old professional basketball player for LA Lakers with foot/ankle acute inversion injury during game.Findings: Anterior talo-fibular ligament tear.