What’s the Diagnosis – Case 135
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What’s the Diagnosis – Case 135
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What’s the Diagnosis – Case 135
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What’s the Diagnosis – Case 135
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Findings The patient has undergone a TKA which on the selected post operative images shows no fracture, loosening (which would be manifest by circumferential resorption around a component), or evidence of infection (which would be manifest by an aggressive/lamellated synovial responsive, prominent regional lymph nodes, and extracapsular edema). What is seen are multiple, new (as compared to 2009), rounded masses of the right femur with a trace amount of surrounding edema.
What’s the Diagnosis – Case 135
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What’s the Diagnosis – Case 135
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What’s the Diagnosis – Case 135
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What’s the Diagnosis – Case 135
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Diagnosis: Metastatic Disease Whole tomes have been and unfortunately can be written about metastatic disease. As practitioners concerned so much with orthopedic entities and musculoskeletal health we all sometimes have blinders on to look for other entities that are also very common in the population at large. Malignancy and metastatic disease have to always remain as a concern in our assessment of adult and elderly patients. This case just highlights that need. As in this case, metastatic lesions frequently present as rounded foci of abnormal signal and often have a surrounding edema pattern. A less circumscribed or infiltrative pattern of bone can also be seen although not as commonly.
What’s the Diagnosis – Case 135
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