BASILAR INVAGINATION MRI RHEUMATOID ARTHRITIS BASILAR INVAGINATION MRI RHEUMATOID ARTHRITIS MCRAE'S LINE There can be apparent superior migration of the dens to the foramen magnum. It’s apparent because it’s due to cranial settling with the skull base moving down rather than the odontoid moving up. To assess this on imaging, there are a […]
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HIP LABRUM MUCOID DEGENERATION MUCOID DEGENERATION MRI APPEARANCE This is the MRI appearance of mucoid degeneration of the hip labrum. On MRI look for a number of findings Enlargement of the labrum Hyper-intensity of the labrum There may or may not be intra labral cysts of varying size. FINDINGS OF MUCOID DEGENERATION MRI Coronal PDFS
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MRI PLANTAR LIGAMENT SHORT PLANTAR LIGAMENT WHAT'S THE STRUCTURE The Short Plantar Ligament. WHAT ARE THE FINDINGS ANATOMY OF THE SHORT PLANTAR LIGAMENT. 1. Extends from the calcaneus (Green star) to the cuboid (Yellow star). 2. It is distal and separate to long plantar ligament. 3. Has a fan shaped appearance. MRI PLANTAR LIGAMENT SHORT
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OSTEITIS CONDENSANS ILII RADIOLOGY CT SACROILIAC JOINT SIJ DISCUSSION ON OCI Osteitis Condensans Ilii. Typical CT sclerotic changes of Osteitis Condensans Ilii. The sclerosis is continuous with the SIJ margin and particularly on the patient’s right it has a triangular appearance. There is also mild sclerosis in the right sacrum adjacent to the
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TIBIALIS POSTERIOR TENDINITIS TENDINOPATHY TEARS RADIOLOGY MRI WHAT ARE THE FINDINGS The tibialis posterior tendon is enlarged and increased in signal. DIAGNOSIS & DISCUSSION TIBIALIS POSTERIOR TENDINOPATHY AND PARTIAL TEAR. Tibialis posterior tendinopathy and delamination / partial tears. The normal tibialis posterior tendon should be uniformly low signal. Enlargement and or increased intermediate
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OPLL SPINE OSSIFICATION POSTERIOR LONGITUDINAL LIGAMENT CT DISCUSSION ON OPLL SPINE CT There is localised, linear ossification present at the posterior margin of the C6 vertebra. This has a typical appearance of OPLL (Ossification of the Posterior Longitudinal Ligament). The cervical spine is the most common location. It is important to follow
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ISCHIOFEMORAL IMPINGEMENT HIP MRI RADIOLOGY ISCHIOFEMORAL IMPINGEMENT: WHY DOES IT OCCUR Ischiofemoral impingement is a result of the quadratus femoris muscle being compressed between the ischial tuberosity and the posterior femur resulting initially in quadratus femoris oedema but can progress to tears and severe atrophy. ISCHIOFEMORAL IMPINGEMENT: WHAT ARE THE FINDINGS Initially there is oedema
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OSTEITIS CONDENSANS ILII MRI DIAGNOSIS OSTEITIS CONDENSANS ILII DISCUSSION OSTEITIS CONDENSANS ILII a common finding that may be confusing to diagnose on MRI. Look for low signal on all sequences The findings are predominantly of the iliac side of the SIJ but may be seen additionally on the sacral side. It doesn’t occur
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MENISCUS MACERATION DEGENERATION MRI KNEE WHAT ARE THE FINDINGS MENISCUS MACERATION DEGENERATION MRI KNEE Generalized increase in meniscal signal. Intermediate increase in signal on PD and PD/T2FS. The meniscus generally retains it’s shape but is ill defined. Due to the degeneration its more likely to tear and it also stops functioning like a normal
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ACL MUCOID DEGENERATION RADIOLOGY MRI DISCUSSION Mucoid Degeneration. These findings indicate Mucoid Degeneration of the ACL rather than a tear. This is a characteristic appearance of ACL mucoid degeneration where the ACL is expanded and hyperintense but is still continuous with normal alignment. . WHAT ARE THE FINDINGS The ACL is enlarged and hyperintense
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RETROACHILLES BURSA BURSITIS MRI ANKLE DISCUSSION ABOUT THE RETROACHILLES BURSA The retroachilles bursa lies between skin and Achilles tendon. It’s not usually seen as its an adventitial bursa caused by chronic friction. It is Uncommonly enlarged. WHERE TO LOOK FOR THE RETROACHILLES BURSA Best seen on axial and sagittal scans. Look posterior
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PERONEUS BREVIS TENDON TEAR MRI DISCUSSION: WHAT'S THE dX Peroneus Brevis Tendon Tear: MRI demonstrates a peroneus brevis tendon tear. There is a longitudinal split resulting in two components of the Peroneus Brevis tendon (Pink arrows). Peroneus Longus (Blue arrow) is normal. WHAT ARE THE FINDINGS There should only be two tendons in the peroneal
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