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


Talar Neck Fracture: Following a Small Radiographic Clue
Case: A 50-year-old man undergoes radiography in the emergency department for an ankle sprain and suspected fracture. Does anything catch your attention on the radiograph? The lateral radiograph shows a small contour irregularity that could be overlooked at first glance. Comparison with the MR images makes its relationship to the fracture clearer. A small irregularity is seen along the dorsal contour of the talar neck. This finding, which is not obvious at first glance, becom
RadiologyCaseDiscussion
Oct 184 min read


High-Yield Board Review: A Posterolateral Chest Wall Lesion
System: Musculoskeletal / Chest Wall Exam Focus: High-Yield Imaging Review Key Imaging Pattern: Deep infrascapular mass with interwoven fat streaks and muscle-like soft tissue on CT 1-Clinical Vignette A 54-year-old man presents with swelling beneath the right scapula and a catching or snapping sensation during arm movements. 2. Board-Style Question Which diagnosis best explains the location and internal architecture of this lesion? A. Lipoma B. Desmoid-type fibromatosis C. E
RadiologyCaseDiscussion
Oct 133 min read


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 demonstrate multilevel central endplate depressions with similar morphology across the imaged vertebral levels. The red arrow indicates a representative depression. Disc spaces are generally preserved, although some discs show reduced T2 signal. No conspicuous surrounding bone marrow edema is evident on the provided images Radiological Findings: Symmetrically located Schmorl’s nodes are ob
RadiologyCaseDiscussion
Sep 242 min read
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