Post on 14-Feb-2017
transcript
CASE DISCUSSIONDr Rajeev Anand,
MDRD, DNB, MNAMS,FRCRMedical Trust Hospital
RADIOLOGIC INVESTIGATIONS
1. X-RAY - Hands and Pelvis.2. MRI - Pelvis.
3. CT - Spine , Pelvis and Lower limb.
X-RAY HANDS
-B/L.-Poly articular.-Almost symmetrical..-Reduced joint space.-Subarticular erosion.-Dislocations.-Ankylosis and deformity.-Mild soft tissue swelling.-No significant osteopenia
X- RAY PELVIS
-Mild B/L Sacroilitis.-B/L OA Hip
MRI- PELVIS
- Mild B/L Sacroilitis.- Enhancing juxtaaarticular soft tissue.
CT SCAN
B/L Hip OA
CT SCAN
B/L Shoulder OA
CT SCAN
B/L Knee OA
CT SCAN
B/L Facet ArthorpathyB/L Sacroilitis.
CT SCAN
SOFT TISSUE CALCIFICATION
CT SCAN
SOFT TISSUE CALCIFICATION
INFERENCEInvolves joints.Axial skeleton and the Appendicular skeleton.B/L and almost symmetrical.Involvement of small and large joints.Juxta-articular soft tissue swelling .Juxta articular soft tissue mass/ Calcification. Joint space reduction, Subchondral erosions,
OA changes, Ankylosis and Dislocations.
DIAGNOSIS Erosive Osteoarthropathy. DD - Rheumatoid / CTD ? No signft Osteopenia. Associate soft tissue - Deposition diseases.
Final conclusion: Deposition diseases.