Teaching point: Chondrosarcoma of the lower rib may present with only minimal calcified chondroid matrix and may be misinterpreted as a liver lesion.
Teaching point: Chondrosarcoma of the lower rib may present with only minimal calcified chondroid matrix and may be misinterpreted as a liver lesion.
Teaching point: Popliteal sulcus erosion with soft tissue mass: when in doubt, think of gout.
Macrodactyly, a often congenital anomaly, entails abnormal enlargement of digits, predominantly affecting hands or feet, either in isolation or as part of a syndromic condition. The authors present a case of Macrodystrophia Lipomatosa (ML), a form of macrodactyly, in a 62-year-old patient, emphasizing macrodactyly manifestations through clinical and radiological assessments. Additionally, the authors explore anatomical aspects related to nerve distribution in affected digits, providing a comprehensive understanding of ML. Teaching Point: Explore macrodactyly, emphasizing digits nerve plexus anatomy, which can reveal crucial clues for diagnosing a specific form of this anomaly.
Teaching point: Atraumatic splenic rupture is a rare but life-threatening complication of infectious mononucleosis.
A 57-year-old woman presented with right hip pain. The initial diagnosis was an inflammatory tendinopathy of the gluteus medius without signs of rupture, and the patient underwent an ultrasound-guided corticosteroid injection. However, 1 month later, she presented with a painful swelling on the anterior-external aspect of the right hip/thigh, with a clinical suspicion of malignancy. Magnetic resonance imaging (MRI) scan and ultrasound confirmed the diagnosis of hypertrophy of the tensor fascia lata (TFL) muscle . It is included in the differential diagnosis of soft tissue masses of the anterolateral proximal part of the thigh. The etiology is likely to be associated with gluteal muscle dysfunction. Teaching point: Unilateral hypertrophy of the fascia lata consists of an association with hypertrophy of the tensor fascia lata muscle and pathology of the minimus and medius gluteus muscles.
Teaching point: Wirsung duct duplication is a very rare condition that can lead to chronic pancreatitis.
Teaching Point: Retinal detachment is a rare initial clinical manifestation of lung cancer with intraorbital metastases, early diagnosis on magnetic resonance imaging is important for therapeutic implications.
Teaching point: Benign hyperostosis of the rib is a benign entity consisting of a stress phenomenon that should not be confused with Paget, fibrous dysplasia, or osteoblastic metastasis.
Teaching point: Small bowel diverticulitis, much less common than its colonic counterpart, is a diagnosis that must be considered in the presence of abdominal pain, especially in an elderly person.
Teaching point: Although rare, an intra-mammary metastasis from extramammary cancer should be considered in a patient with an oncological history.
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