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Always Demand 3T MRI For Your Imaging Needs

Post Surgical Elbow Pain & Swelling: 3T MRI Elbow

SYMPTOMS: Patient presented to his physician with elbow pain and swelling. The patient had previously undergone ORIF surgery to repair a fracture (open reduction, internal fixation). SUMMARY OF FINDINGS: 1. Nonenhancing complex posterolateral cyst with mild enhancement of the extracapsular soft tissues. 2. Anconeus and supinator muscle edema. 3. Displaced radial head fracture following...

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Foot & Ankle Pain & Instability: 3T MRI Hindfoot

SYMPTOMS: The patient presented with foot and ankle pain, instability and swelling of the ankle.  During the physical examination the ankle was visibly swollen and it was revealed that the patient had also experienced intermittent numbness and tingling. No recent trauma or fall was reported. The onset of the pain was described as “sudden” and “becoming progressively more severe”. A high resolution 3T MRI was ordered by the foot & ankle specialist. A specialty “ski-boot” coil was used with the 3T MRI scanner to enhance visualization of fine anatomy. Extremely high resolution images were obtained aiding the specialty radiologist in identifying the cause of the patients pain. Representative images of the study are included below. Pathology is clearly labeled an annotated for review.  SUMMARY OF FINDINGS: 1. Focal edema within the tarsal tunnel and medial plantar nerve with resulting...

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Lis Franc Ligament Sprain: 3T MRI Midfoot

Symptoms: A patient presented with acute pain and tenderness in the midfoot. The midfoot area was visibly swollen and the patient experienced tenderness to the touch during the physical examination. The referring physician suspected the patient may have suffered a sprain or tear of a ligament in the foot. A high resolution 3T MRI of the midfoot was ordered. A dedicated 8-channel ski-boot type foot and ankle coil was utilized on the 3T MRI scanner. Extremely high resolution images were obtained providing clear visualization of the pathology causing the patient’s symptoms. Images representative of the study are presented below with pathology clearly labeled and annotated. SUMMARY OF FINDINGS: 1. Lisfranc ligament sprain. 2. Bone marrow edema (bone bruise) of the cuneiforms, second, fourth and fifth metatarsals and...

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Peroneus Longus and Peroneus Brevis Tendon Tears: 3T MRI Hindfoot

SYMPTOMS: A patient presented with pain and instability of the ankle. During physical examination it was revealed that the ankle pain was chronic and not healing for more than a year post-trauma. The patient experienced instability, weakness and a decreased range of  motion compared to the opposite ankle. The physician ordered a 3T MRI to include specialty sequences utilizing a dedicated specialty 8-channel ski-boot foot and ankle coil. Extremely high resolution images were obtained which aided the subspecialty  radiologist’s diagnosis of multiple pathologies including “cortical thickening of the calcaneus at Gissanes angle”. Images representative of the study are presented below with pathology clearly labeled and annotated. SUMMARY OF FINDINGS: 1. Hindfoot valgus with midfoot sag with resulting subfibular impingement as evidenced by soft tissue edema inferior to the fibula, cortical thickening of the calcaneus at Gissanes angle, edema within...

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Morton’s Neuroma: 3T MRI Forefoot

SYMPTOMS: Patient experienced a chronic pain and aching in the left forefoot. After physical examination, X-rays were obtained. The podiatrist referred the patient for high resolution 3T MRI utilizing a dedicated 8-channel foot and ankle “ski-boot coil”. The specialty imaging coil for the 3T MRI scanner aided in generating much higher resolution MRI images than can be obtained with traditional open architecture or 1.5T equipment. Extremely high resolution images were obtained aiding the radiologist and referring physician in identifying multiple subtle pathologies including a somewhat rare finding of “Morton’s Neuroma”. SUMMARY OF FINDINGS: 1. Enhancing 5 mm soft tissue density between the plantar aspect of the third and fourth metatarsal heads, consistent with a small Morton’s neuroma. 2. Nonspecific synovitis at the third through fifth tarsometatarsal joints and at the third metatarsophalangeal joint. 3. Developing second and third claw...

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Shoulder Pain & Instability: 3T MRI Shoulder

SYMPTOMS: Patient presented with chronic shoulder pain following a motor vehicle accident.  He experienced instability and weakness. The physical examination confirmed instability as well as a unilateral weakness and limited range of motion when compared with the opposite/unaffected shoulder. A 3T MRI was ordered by his consulting orthopedic physician. High resolution images were obtained. Representative images of the study are presented below with pathology clearly labeled and annotated. SUMMARY OF FINDINGS: 1. Mild insertional tendinosis of the deltoid. 2. Postoperative labral and capsular irregularities. 3. No acute abnormalities. 4. Buford complex and sublabral...

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