Case Challenge

Stephen J Pomeranz

Interact with scrollable cases and watch microlearning videos with MRI Online. Gain confidence interpreting Thigh MRI Cases & earn CME. Try it free!

Case Review

Musculoskeletal (MSK)

Case 1 - 14-year-old male football player presents with posterior bruising in the upper right leg

Case 2 - 89-year-old female presents with growth on right thigh

Case 3 - 61-year-old female presents with a painful mass in the left distal thigh

Case 4 - 92-year-old male is being assessed for infection of amputated leg

Case 5 - 57-year-old male is being evaluated for ischial avulsion fracture

Case 6 - 57-year-old male presents with left thigh strain / muscle defect

Case 7 - 68-year-old female presents with numbness involving both legs

Case 8 - 18-year-old male presents with contusion of left thigh, and paresthesia

Case 9 - 31-year-old male presents with right thigh pain, and history of fracture

Case 10 - 55-year-old female presents with contusion

Case 11 - 8-year-old female is being evaluated for a distal left femur mass

Case 12 - 60-year-old male presents with left thigh pain

Case 13 - 50-year-old male presents with sickle cell crisis, and extreme pain in left thigh

Case 14 - 48-year-old male presents with history of arthroscopic surgery on the right knee

Case 15 - 45-year-old male presents with soft tissue mass in left thigh

Case 16 - 3-year-old female presents with asymmetric thighs, left greater than right

Case 17 - 11-year-old male presents with posterior pain to right mid-thigh

Case 18 - 38-year-old female presents with persistent left leg pain

Case 19 - 14-year-old male presents with myotendinous injury in the left thigh

Case 20 - 55-year-old female presents with left leg weakness

Case 21 - 54-year-old male presents with a large left thigh mass

Case 22 - 86-year-old male presents with lump in left thigh

Case 23 - 55-year-old male presents with clinical strain at the hamstring muscle insertion

Case 24 - 66-year-old male is being evaluated for a right distal thigh mass

Case 25 - 77-year-old female presents with a left thigh soft tissue mass

Course Evaluation

Post-Course Activities

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

Thigh MRI Cases

<div>HISTORY:&#160;This 92-year-old male is being assessed for infection of amputated leg.(QUIZ ANSWER) PRIMARY FINDING:&#160;Osteomyelitis.Using the&#160;diagnostic web viewer, we have provided images that assist in telling our clinical story. Areas of significance are indicated below.FINDINGS: Status post amputation of the right lower extremity at the distal femur level. T2 hyperintensity is noted at the amputation site of the femur with a suspected skin defect at the anterolateral aspect. Finding is concerning for superficial osteomyelitis.&#160;Generalized increased signal and volumetric atrophy of the quadriceps representing chronic denervation injury. Similar findings to a lesser degree are seen in the posterior compartment musculature. Adductor musculature is relatively preserved.&#160;Surgical material susceptibility artifacts are seen at the distal femoral artery and popliteal artery levels.&#160;Generalized subcutaneous edema is present at the lateral aspect of the thigh.&#160;No abscess formation. No soft tissue mass identified. No evidence of stump neuroma.&#160;Urinary bladder is partially visualized and unremarkable. Enlarged transitional zone of the prostate gland demonstrates urinary indentation at the floor.&#160;Small hydrocele is noted.&#160;CONCLUSION:&#160;1. Small area of T2 hyperintensity at the amputation site of the femur, concerning for superficial osteomyelitis.&#160;2. Suspected skin defect / subcutaneous atrophy or fibrosis at the anterolateral aspect. Subcutaneous edema at the lateral aspect of the thigh.&#160;3. Volumetric atrophy, fatty infiltration and myoedema of the thigh muscles. Adductor musculature is relatively preserved.</div>

Case

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