X ray of the Week #12

Whats ur Dx / DDx for these radiographs

X Ray of the week #11

Patient 40 yr Old male presented in emergency hours immediately following trivial fall with the above X ray.
Patient denies any history of previous fall or injury to the same limb in the past.

Whats your Radiological diagnosis??


O/E:
Significant findings are
Thicknening of lower end of humerus and proximal ulna
Non tender

FFD of 30deg with further flexion possible upto 100 deg
Pronation upto 45 deg
Supination upto 40 deg

X RAY of the week # 10 (UPDATED)

Present x ray

4 months back xray 

Patient is a 50 yr old male who presented to us with pathological fracture in left humerus. Incidentally patient has Carpal tunnel syndrome on opposite side.

His  work up shows ALP↑↑ ; PSA levels, Sr Calcium & phosphorus  with in normal range; Hb electrophoresis shows no M spike.

Biopsy report awaited...

whats ur diagnosis??

UPDATES

Biopsy report :

Specimen shows blood clot with entrapped sheets of mature plasma cells along with focal areas showing plasmacytoblasts. Russel bodies and dutcher bodies seen. Features are consistent with plasma cell Neoplasm.

Bone scan shows no hotspots elsewhere in the body..

X ray 9

Interesting case:

A 50 years old male patient with 4 years history of swelling

over the foot.The swelling started and progressed to the

 present size in last 3 - 4 years.No history of any pain

(occasional dragging sensation.),any discharge,no any injury,

No any similar swellings any where.

On examination:

Non tender ,sessile,irregular,lobular swelling with

no local rise of temperature with hard

Consistency and no fluctuation.no movements

 with the muscle movements and no any pulastions.

Distal neuro vascular system is normal and no any

 lymph nodes enlargement.

What is the probable diagnosis?

what will the approach towards the case?

X ray of the week # 8 (UPDATED)

45year old male Patient presented with history of surgery of  to left hip following fall and fracture 25 years back. There is history of only one surgery on his left hip(No history of Implant removal). Patient also gives history of plaster cast immobilization extending from Umbilicus extending into both lower limbs for couple of months. Following which he had painless hip and was able to perform all his daily routine without any pain. Now presented with pain in the hip since 1 year.

What fracture he had 25 yeasr back?
What surgery did he undergo?
What is the present diagnosis

X RAY OF THE WEEK #7

A case of blunt Injury C spine with quadriparesis. with some congenital of vertebral column anamoly.Plz comment on the x ray...

Xray of the week‎ case: 3 (UPDATED)

A55 year old man presented to Emergency OPD with complaints of pain in his Rt hip region since last 2 months swelling in his hip and Rt lower limb since last one week.

HOPI: Patient was alright 2 months back  when he gives history of fall n injury to Rt hip region.Patient was able to get up and bear weight over his Rt lower limb following the event. patient is experiencing pain in his right hip since the event which was mild aching to start which gradually progressed to present severe excruciating pain.

Pain is associated with swelling initially localized to Rt hip region which progressed to entire Rt Lower limb

Patient is unable to walk and bear weight on his right lower limb, sit crossed leg and squat since 1month

History of fever on and off since 1 month which is high grade not associated with chills and rigors,

no h/o diurnal variations, or no h/o periodicity
No h/o weight loss
...


Whats ur Dx??

Biopsy report awaited