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Real Cases. Radiology Reasoning.
Case-based radiology education built from a radiologist’s personal clinical archive.
MusculoSkeletalSystem Cases


Central Schmorl’s Nodes at All Levels (Developmental Endplate Depressions)
Case: 46-year-old female patient. Figure 1a & 1b. Sagittal T1- and T2-weighted MR images demonstrating identical, symmetrical, and central endplate depressions (developmental Schmorl’s nodes) across all thoracolumbar levels (red arrow). Note the completely preserved intervertebral disc heights, normal signal intensity, and the total absence of surrounding bone marrow edema or Modic changes on both sequences. Radiological Findings: Symmetrically located Schmorl’s nodes are obs
RadiologyCaseDiscussion
Sep 242 min read


📸 THROUGH A CASE: WHAT DOES A BONY OUTGROWTH ON THE MEDIAL TIBIA TELL US?
On a plain radiograph (X-ray) I reviewed recently, I encountered a classic lesion straight out of a textbook: A broad-based bony outgrowth located at the proximal medial metaphysis of the tibia, demonstrating clear corticomedullary continuity with the parent bone and projecting distally (downward) away from the growth plate. When we first encounter this image, a single term immediately comes to mind: Exostosis. However, right at this juncture, one of the most intriguing debat
RadiologyCaseDiscussion
Jul 214 min read


Late-Stage Perthes Sequelae in Adulthood: A Case Study CaseNo: MSK.4.6.3.3.2.001
Chief Complaint: 67 -year-old male, Left hip pain persisting for 20 years, becoming progressive over the last 2 years, accompanied by a significant limp. History: A history of untreated/undiagnosed hip disorder during childhood (consistent with late-stage Perthes sequelae). Physical Examination: 2 cm shortening of the left lower extremity, positive Trendelenburg sign, and severe restriction in the range of motion (ROM) in all directions. Radiological Findings: Fig 1: Coxa
RadiologyCaseDiscussion
Apr 112 min read


Post-operative Proximal Muscle Pain : Meeting Subclinical Hypothyroidism
A case analysis exploring the link between subclinical hypothyroidism and persistent proximal muscle pain in a 74-year-old female patient following lumbar and scoliosis surgery.
RadiologyCaseDiscussion
Aug 18, 20252 min read
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