The Karate Kid With Thigh Pain

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The Karate Kid With Thigh Pain - Page #3

Lab Studies: N/A Other Studies: X-ray Left Femur: Case Photo #2 Case Photo #3 no fracture or calcifications Ultrasound Left Thigh: 0.5cm x 3.5cm cystic structure with a heterogenous appearance and doppler flow deep to the vastus medialis muscle MRI Left Femur: Case Photo #4 Case Photo #5 Case Photo #6 Case Photo #7 Intraosseous signal abnormality over a 25cm segment of the left femur from the proximal diaphysis to the distal metaphysis at which point thereâ€™s a cortical breach medially. There is extraosseous extension of the lesion measuring 3.6cm x 1.4cm x 5.5cm in size along the periosteum. CT Scan without contrast is recommended to help further determine the matrix of his lesion as the next diagnostic test. CT Left Femur: Case Photo #1 Vascular malformation with both intra and extra-osseous components. MRA Left Femur: Case Photo #8 Intraosseous and extraosseous low flow venous malformation with a large draining vein along the medial cortex. Consultations: Orthopedic Oncology Interventional Radiology Vascular Surgery Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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