Cardiac
GI
Bone
GU
Neuro
Peds
Faculty
Student
Quizzes
Image DDX
Mobile
  Misc
Videocasts

 

 

Case of the Week 358




What's the most likely diagnosis?

  • 60 year-old male with pain in finger



Frontal radiograph of hand

  1. Avascular necrosis
  2. Tuberculosis
  3. Melorheostosis
  4. Sickle cell disease
  5. Gout

Additional Image - Oblique radiograph of hand

 

Additional Image

.

Oblique radiograph of hand

.


Answer:

.


3. Melorheostosis

.

.

More (Click Discussion Tab)


Melorheostosis

General Considerations

  • One of a group of sclerosing bone disorders
  • Rare
  • Cause is unknown
  • Produces thickening of the endosteum and periosteum
  • Peak age of presentation is 5-20 years
  • May be monostotic or polyostotic
    • May involve one entire limb
      • Usually does not involve multiple limbs
  • Twice as common in lower extremities than elsewhere

 

    More ...


    .

    This Week
    60 year old male with finger pain
     
    This podcast reviews the most common osteolytic and osteoblastic metastatic lesions, their patterns of appearance and unique identifiers for certain primary tumors; there is a mini-quiz at the end
     
    View this complete Video Podcast (Video Podcast 16-Fractures and Dislocations of the Wrist) in full-screen size on your computer without the need to download from iTunes
     
    Key points on recognizing the most common fractures and dislocations
     
    Basic CT imaging of the brain focusing on the findings of cerebrovascular accidents
     
    The top diagnostic imaging diagnoses that all medical students should recognize according to the Alliance of Medical Student Educators in Radiology
     
    Recognizing normal and  key abnormal intestinal gas patterns, free air and abdominal calcifications
     
    Some of the fundamentals of interpreting chest images
    LearningRadiology.com
    is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.