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Post on 05-Jan-2016

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I got a really benign appearing eccentric lucent lesion in a 17 y/o in the proximal metaphysis extending

into epiphysis. Physis looked closed. I gave diff. He showed me an mri with multiple fluid levels and

no edema. I said favor abc, even though minimally expansile if at all.

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I got a posterior dislocation of shoulder on ap confirmed with y

view.

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I got a chronic osteo with sequestration, sinus tract, dense thick smooth periosteal reaction of humerus (plain film and ct).

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I got a calcaneous stress fracture. very osteopenic and vascular

calcifications, I said maybe some calcaneal sclerosis, rec mri or bone

scan. He showed me follow up with avulsion fracture of superior calc at achilles insertion. He also asked me to put it all together. I babbled about

diabetes and osteoporosis maybe renal osteodystrophy.

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I got a bucket handle tear of medial meniscus (he didn’t show

me double pcl sign, but rather coronals).

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I got what I thought to be most likely ra of shoulder (jsn,

articular irregularity, high riding head, osteopenia, no osteophytes. Distal clav normal. I mentioned other things like cppd and post

traumatic changes, but much less likely).

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I got multiple bilateral tib, fem and fib infarcts (started with mri)

and I gave diff

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I got infer. endplate irreg and lytic changes at l4, very mild disk height

loss and I thought normal l5 in a young girl. I said infection, maybe neoplasm like leukemia, get mri. He gave me followup 10 months later, with bad disk height loss and bad

endplate changes l4/l5. I said likely infection, maybe favor

granulomatous given 10 month interval.

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I got osteochondritis of capitellum (I saw sclerosis on plain film, but for some reason started talking about

stupid irreg of ulna, then he showed me mri). He asked me what the

eponym was, and I blanked. Others I forget. He ended a little before the

first bell and we talked a bit.

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chance fracture of the lumbar spine

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sarcoidosis in hands and feet

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parosteal osteosarcoma

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simple bone cyst in the calcaneus

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a brown tumor in the distal femur (gave ddx ABC & GCT, but I got a hint that it was a brown tumor).

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I also got a very bizarro film of pediatric hand with some strange

moth-eaten lesions in the phalanges next to the physes on the

metaphyseal side, that I had no idea what it was, but the only question on

this case was "you're not going to know what this is; what book would

you use to look it up?"

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a left hip dislocation with a bone fragment in the joint after

reduction (on CT)

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Lytic changes in the distal end of one of the metacarpal bones with a history of punching someone;

probable infection of bone, joint, or both