Case Challenge

Stephen J Pomeranz

Gain confidence interpreting Forearm MRI Cases with MRI Online. Quiz yourself using real-world, interactive scrollable cases & earn CME. Try it free!

Case Review

Musculoskeletal (MSK)

Case 1 - 24-year-old female presents with history of left forearm venous malformation

Case 2 - 37-year-old female presents with pain, crepitus, and swelling of the right forearm

Case 3 - 34-year-old male pulled muscle while wakeboarding

Case 4 - 59-year-old male presents with extensive swelling at the left elbow and forearm

Case 5 - 3-year-old male presents with a left forearm mass

Case 6 - 64-year-old female presents with small lumps on the right forearm for six weeks

Case 7 - 65-year-old female presents with left forearm swelling and burning

Case 8 - 61-year-old male presents with mass at right wrist and forearm

Case 9 - 48-year-old male presents with lump on the volar right forearm for 12 years

Case 10 - 44-year-old male is being evaluated for cyst

Case 11 - 40-year-old female presents with left hand pain

Case 12 - 20-year-old male presents with crush injury of the left forearm

Case 13 - 27-year-old male is being evaluated for right forearm strain

Case 14 - 33-year-old male presents with volar right forearm mass

Case 15 - 49-year-old male presents with left elbow pain, swelling, and redness

Case 16 - 67-year-old female is being evaluated for lesion in left forearm

Case 17 - 65-year-old female presents with inability to extend thumb or fingers

Case 18 - 27-year-old female was hit in right arm by the trunk of a car

Case 19 - 70-year-old male presents with lump on right forearm

Case 20 - 58-year-old female presents with severe soft tissue swelling medial ulnar aspect

Case 21 - 59-year-old female presents with mass distal left forearm

Case 22 - 15-year-old male presents with ulnar pain in left forearm

Case 23 - 41-year-old female presents with clinical radial neuropathy

Case 24 - 2-year-old female presents with multiple osseous lesions in left forearm

Case 25 - 62-year-old male presents with paralysis of the left index finger and thumb

Course Evaluation

Post-Course Activities

This Power Pack is comprised of 25 unique Forearm MRI cases that you can scroll through in our diagnostic web viewer to determine your findings. Quiz yourself and earn CME.

Forearm MRI Cases

<div>HISTORY:&#160;This 15-year-old male presents with ulnar pain in left forearm. Tennis player with pain when hitting backhand. Evaluate for stress phenomenon or injury.(QUIZ ANSWER) GRADE CAN BE RULED OUT:&#160;Grade 4.Using the&#160;diagnostic web viewer, we have provided images that assist in telling our clinical story. Areas of significance are indicated below.FINDINGS: Although the pattern is unusual, a stress phenomenon is identified in the posterior aspect of the ulnar shaft and would correlate with the patient's clinical syndrome.&#160;In grading the stress injury, the grade would be 2-3 out of 4 as there is no discrete stress fracture or completed stress fracture line at this juncture.&#160;The surrounding soft tissues are normal other than mild periostitis.&#160;The interosseous space is normal.&#160;No compartment syndrome is noted.&#160;Biceps, triceps and brachialis are intact.&#160;CONCLUSION:&#160;Class 2-3 out of 4 stress phenomenon of the ulna in a tennis player. No completed stress fracture or grade 4 stress phenomenon is noted at this juncture.</div>

Case

In this case, a stress phenomenon is identified in the posterior aspect of the ulnar shaft. Given that there is no discrete stress fracture or completed stress fracture line, which radiologic grade of stress fracture can be automatically ruled out?