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Case of the Week 429



What is the most likely diagnosis?

  • 79 year-old male with burning leg pain



Tc99m Bone Scan

  1. Chronic venous insufficiency
  2. Paget Disease
  3. Shin splints
  4. Osteosarcoma
  5. Hypertrophic osteoarthropathy

Additional Images - Frontal view of both knees

 

 

Additional Images

 

Frontal view of both knees


Answer:

.


5. Hypertrophic Osteoarthropathy

.

.

More (Click Discussion Tab)


Hypertrophic Osteoarthropathy

General Considerations

  • Clinical syndrome consisting of clubbing of the fingers and toes
  • Painful and swollen joints
  • Symmetric periostitis especially involving the tibia and fibula, radius and ulna
  • Most often secondary to an intrathoracic neoplasm or infection
  • Primary form is called pachydermoperiostitis

 

MORE...


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This Week

79 year-old male with burning leg pain
 
Presented as a series of cards, this podcast asks some of the most common causes of neuroimaging findings and diseases making it ideal for a quick review. Can be used as either an audio only or audio/video podcast.; Complements Video Flashcard Podcasts 15, 21,25, 38, 42, 46 and 47.
 
 
Some of the fundamentals of interpreting chest images
 
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
 
Recognizing the parameters that define a good chest x-ray; avoiding common pitfalls
 
How to recognize the most common arthritides


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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.