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Doctor insights on: Linear Lucency

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MRI -Marrow edema, chondral thinning, elongated osteochondral lesion (6x17mm) lateral talar dome.increased signal distal syndesmosis -- need surgery?

MRI -Marrow edema, chondral thinning, elongated osteochondral lesion (6x17mm) lateral talar dome.increased signal distal syndesmosis -- need surgery?

Talar Dome Lesion: Kolleen, you have a large lesion off soft bone inside your ankle. Surgery can be an option, but attempting to create a pain free environment (from boot to just activity restrictions), contrast bathing nightly to increase circulation, Exogen bone stimulator for 9 months, repeat MRI in 6 months to see if improvement is being made, and other treatments available may avoid surgery. Dr Blake ...Read more

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2 sm linear soft tissue calcifications mid lower leg, undetermined etiology/pathologic significance & ossicle at ant. Tibia plateau. Possibilities?

2 sm linear soft tissue calcifications mid lower leg, undetermined etiology/pathologic significance & ossicle at ant. Tibia plateau. Possibilities?

Signs of old injury?: Calcium could be laid in the soft tissues that previously got inflamed and or injured. Monitoring for growth/ pain/ associated clinical symptoms is needed to see if a tissue biopsy is needed. ...Read more

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Subchondral linear focus of hypointense signal at proximal aspect of navicular, which may be subchondral fracture or avascular necrosis. Explain?

Subchondral linear focus of hypointense signal at proximal aspect of navicular, which may be subchondral fracture or avascular necrosis. Explain?

Is this an MRI?: It sounds like you are reading an MRI report, what they are describing is abnormal signal on the MRI in your Navicular ( one of the bones in your foot) It sounds like there could be a fracture - maybe you had an injury, or if there was no injury but you have had pain and there is an area just below the surface of the joint that the bone has died (Avascular necrosis- AVN) hope that helps ...Read more

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Ultrasound shows elongated nodule measuring 3.4 cm. Long predominantly hypoechoic well circumscribed with no posterior shadowing. ?

What: part of the body was scanned? Please post the question again with some additional info. Ultrasounds are performed on nearly every part of the body, so there is no way to respond to the question without knowing what specifically was scanned. Was it the breast? ...Read more

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Ct scan showing non united verticle talus body fracture & patchy sclerosis in talar dome. 5 month post iinjury. Treatment option? ?

Ct scan showing non united verticle talus body fracture & patchy sclerosis in talar dome. 5 month post iinjury. Treatment option? ?

Surgery: You may need surgery for a nonunited talar body fracture after 5 months of injury. The surgery involves being asleep, screws, possible bone grafting or bone healing augmentation, and soft tissue dissection. You'll probably be in a cast, nonweightbearing for another 2-3 months. I hope this helps! ...Read more

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53 yo female (RN) s/p optic neuritis. MRI shows "FLAIR & T2 images show scattered punctate areas of increased signal w/I periventricular white matter"?

53 yo female (RN) s/p optic neuritis. MRI shows "FLAIR & T2 images show scattered punctate areas of increased signal w/I periventricular white matter"?

MS or not MS?: This kind of case will either be diagnosed as optic neuritis or as MS. Since the T2 / FLAIR lesions are small (i.e. punctate) it is a bit uncertain. If they were a bit larger, the diagnosis would be MS. For smaller lesions, perhaps it is not. A spinal tap may help to sort out the answer. The answer is important, so that future relapses can be prevented. Think about vitamin D. ...Read more

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Meaning of CT scan head small linear calcification along the left tentorial leaflet posteriorly.

Meaning of CT scan head small linear calcification along the left tentorial leaflet posteriorly.

Aging: Calcifications of tentorium, falx, or dura mater can occur in 10 of oolder patients.Falx calcifications usually have acharacteristic appearance pattern as dense and flat plaques and are usually seen in the midline of the cerebrum.Dural and tentorial calcifications are usually seen in a linear pattern and can occur anywhere within cranium. ...Read more

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Brain MRI T1 Sag 2000, 2003, 2013: parieto occipital sulcus shows marked, progressive widening. The other sulci show minimally progressive widening.

Brain MRI T1 Sag 2000, 2003, 2013: parieto occipital sulcus shows marked, progressive widening. The other sulci show minimally progressive widening.

Must f/u with Neuro: I assume you're being followed by a Neurologist given periodic MRI. Please, make appointment to be reevaluated with a more recent imaging. You did not mention symptoms but if you have any, be sure to discuss it with the specialist. ...Read more

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What is bibasilar linear opacity in chest X-ray indicates?

What is bibasilar linear opacity in chest X-ray indicates?

Scar vs. Atelectasis: "bibasilar linear opacity" is a term used by radiologists to describe thin lines seen in the bases of both lungs. The typical cause for this are benign conditions such as atelectasis or scarring after a previous infection (pneumonia) . Comparison with previous chest x-rays to determine chronicity and/or cause may be necessary. ...Read more

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Renal cortical thickness and echogenicity is maintened bilaterally menas?

Renal cortical thickness and echogenicity is maintened bilaterally menas?

That describes: normal features of the kidney. The echogenicity is the "brightness" on US, and the cortical thickness is the width of the renal tissue. ...Read more

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What is t2 hyperintense r/lower pole renal lesion demonstrates hyperintensity on non fatsaturated t1 image.Post contrast vascular phenomenon MRI Scan?

What is t2 hyperintense r/lower pole renal lesion demonstrates hyperintensity on non fatsaturated t1 image.Post contrast vascular phenomenon MRI Scan?

Appearance descripti: These words (presumably from a radiology report) describe what the MRI looks like (hyperintensity - very bright) & the location (lower part of the [renal] kidney) & the way the images were obtained (T2 weighting & fat-saturation T1 & dye [contrast]). All this means nothing without symptoms. For a doctor to help you, he/she needs to know what the MRI was trying to diagnose. W/o symptoms, means noth ...Read more

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Ct Rpt- curvilinear soft tissue density with irregular peripheral margins in the subcutaneous fat in thigh measures 16.4 x 2.3 x 10.1cm - Sarcoma?

Ct Rpt- curvilinear soft tissue density with irregular peripheral margins in the subcutaneous fat in thigh measures 16.4 x 2.3 x 10.1cm - Sarcoma?

Possible liposarcoma: Large tumor masses in thigh usually represent sarcoma. In subcutaneous fat probably liposarcoma but dx must be established by complete removal and examination of lesion. A large liposarcoma may be composed of benign lipoma in 70-80% of lesion and 20-30 % sites of sarcoma. An at random bx in the OR can frequently yield a dx of a benign lesion when complete examination reveals the malignancy/ ...Read more

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Chest XRay - Latetal view demonstrates blunting of both costophrenic angles w/either small lung base pleural effusions are chronic pleural thickening.

Chest XRay - Latetal view demonstrates blunting of both costophrenic angles w/either small lung base pleural effusions are chronic pleural thickening.

If you have: previous chest X-rays to compare, that would be helpful in making the determination between mild pleural thickening(scarring) or effusion(fluid). There are numerous potential etiologies for each. Further imaging could include ultrasound, special chest xray views(decubitus views ), or CT scan. ...Read more

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TVS done 7thday of Period.Myometrium show heterogeneous echoes with multiple small bright spots.Color Dopler show increased vascularity in myometrium?

TVS done 7thday of Period.Myometrium show heterogeneous echoes with multiple small bright spots.Color Dopler show increased vascularity in myometrium?

Adenomyosis?: Why did you have TV ultrasound? - Pain / Heavy Bleeding? Be on results it can be due to Adenomyosis - a condition in which endometrial tissue grows into the muscle layer of your uterus. If that is what radiologist thinks, you may need an MRI to confirm it. Take Care! ...Read more

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Are Few tiny scattered nonenhancing T2/T2 FLAIR hyperintensities involving periventricular/ subcortical Zones supratentorial compartment bilat normal?

Are Few tiny scattered nonenhancing T2/T2 FLAIR hyperintensities involving periventricular/ subcortical Zones supratentorial compartment bilat normal?

MRI: You can talk to your doctor about what this finding means in the context of your clinical picture, but usually what you are describing is an incidental, age-related finding that is probably of not much concern. ...Read more

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X-ray rprt "loss of lumbar curvature", MRI rprt"l5-s1 disc show posterior central annulus protrusion causing subtle impingement on thecal sac" ?

X-ray rprt "loss of lumbar curvature",  MRI rprt"l5-s1 disc show posterior central annulus protrusion causing subtle impingement on thecal sac" ?

Call your doctor: Your doctor who has the complete report and who has examined you can give you more information. You have a herniated disc which may be putting some pressure on the nerve. Your doctor can give you more information and recommendation for treatment. ...Read more

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Pleural bassed nodule at posterior aspect os mid cephalad right lower lobe of lung 7 x 4 mm. Also linear atelectasis within right midlung. Age 73?

Pleural bassed nodule at posterior aspect os mid cephalad right lower lobe of lung 7 x 4 mm. Also linear atelectasis within right midlung. Age 73?

Follow up of nodule: The linear atelectasis is nothing to worry about. The pleural based nodule sounds like a potentially benign nodule. Surveillance of a nodule of this size, however, is frequently recommended, particularly if you have a smoking history. Please sure to talk to your doctor for the appropriate steps. ...Read more

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Dr. Paul Velt Dr. Velt
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My ankle xray 8mm lucency in medial talar dome consistent with osteochondral lesion. Enthesophyte at posterior aspect of the calcaneus, means what?

Dr. Paul Velt Dr. Velt
2 doctors agreed:
My ankle xray 8mm lucency in medial talar dome consistent with osteochondral lesion. Enthesophyte at posterior aspect of the calcaneus, means what?

See orthopedist : Those findings especially at the dome of the talus was once osteochondritis dessicans. To try and avoid further aritic findings talk to your doctor. That talar finding is an "old" injury. So too is enthesophyte ( spur) ...Read more