I have a couple of questions:

1) Are calcifications considered dystrophic IF there are signs of granulation tissue (like the 1st video labelled…[Read more]

How do we tell the difference between delamination calc and granulation tissue?
Do you mention in your report if there is granulation tissue? Do you give measurements as well?

Thanks!

I scanned a female today with a Hx of Rheumatoid Arthritis. She presented with left achilles lump for investigation. (the lump was around 10cm away from the sole of the foot). Similarly, she had one as well on her asymptomatic right side.

I saw a hypoechoic area sitting superficial to the achilles tendon and appeared to move with…[Read more]

Just following along the theme… would you consider the attached images as a small delamination subscap tear? I thought there was a delamination calc too?

Thanks!

I was wondering if the attached pictures qualify for increased rotator cuff interval vascularity?
Normally, does the RTC int display absolutely no vascularity at all or is there minor vasc? Sometimes I don’t know if Im calling the right thing.

Also, in terms of adhesive capsulitis (AC), do any of the following features form first i…[Read more]

I scanned this male for general knee pain and saw an incidental hypoechoic nodule lesion adjacent to the medial aspect of the patellar tendon.
I thought it was non specific.. The reporting radiologist said ?chronic epidermoid cyst, unlikely to represent mets because it was avascular.

Any ideas?

Thanks!

I recently scanned somebody who said they fell on their bottom with no direct impact on the arm but started to develop a tender lump in the left upper humerus.

All I saw in the area was some hyperechoic patches in the subcutaneous layer. No vascularity seen with Doppler.
Is there a specific term to use?

I thought it may have been fat…[Read more]

Please correct me if I’m wrong but does that mean subperiosteal cysts is bony pitting of the enthesis? Just thinking about breaking down the definition of sub periosteal as in sub means underneath the surface of the bone… I’ve attached a picture I drew which is what I’m imagining.

Do you happen to have any specific…[Read more]

1) You mentioned that dipping of the roof line means volume lost which is associated with full thickness tears.

Is dipping just exclusively associated with full thickness tears or can they be associated with partial thickness tears too?
If you see dipping but no anechoic areas, do…[Read more]

Im trying to wrap my head around chronic tears.
For the images and cines provided I thought I saw an anechoic defect extending from the articular to the bursal surface in the mid-post fibres so I called it a full thickness tear of the mid-post fibres.
At some stages I was getting confused as to whether it was really a tear because when…[Read more]

I recently scanned a 30 year old male that complained of right anterior hip pain, more so looking for a hernia.
He didn’t have a hernia however when I went to have a look at the anterior hip joint, I noticed that the iliofemoral ligament perhaps looked thickened? I checked on the contralateral side and saw similar findings. The…[Read more]