Findings, case of 48 y/o man, left toe mass

Imaging Findings

Planar images show contamination in the area of the left sacrum. There is increased activity in a left toe. Spot views of the feet confirm the focally increased activity, most likely in the third or fourth toe on the left. Correlative plain films show an expansile, lytic lesion involving the proximal phalanx of the third toe. The overlying cortex appears to be intact. There is no clear matrix, obvious soft tissue mass, or periosteal reaction.

A T1-weighted MR image demonstrates nearly complete replacement of the marrow fat in the proximal phalanx. It is difficult to see if the overlying cortex is intact throughout. A fat-saturated image shows peripheral enhancement. The STIR image shows diffuse T2 hyperintensity that does extend beyond the contour of the bone.

The Full Case Report

• Return to the Teaching Case Database search page
• Return to Professional Education
  
• About BrighamRAD

Dear Visitors: Nothing on this World Wide Web site should be considered medical advice. Only your own doctor can help you make decisions about your medical care. It is not the policy of the Brigham and Women's Hospital Department of Radiology to provide consultation on the World Wide Web or via e-mail. If you have a specific medical question or are seeking medical care, please call the Brigham and Women's Hospital toll-free physician referral line at 1-800-294-9999.

Is this a mirrored page?
The official homepage of the BrighamRAD Teaching Case Database is http://brighamrad.harvard.edu/education/online/tcd/tcd.html