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: <a href="CaseStudyImages/CS2CS1TheKarateKidwi-155.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> <a href="CaseStudyImages/CS3CS2CS1TheKarateKi-155.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a> no fracture or calcifications <br> <br>Ultrasound Left Thigh: <br>0.5cm x 3.5cm cystic structure with a heterogenous appearance and doppler flow deep to the vastus medialis muscle <br> <br>MRI Left Femur: <a href="CaseStudyImages/CS4CS3CS2CS1TheKarat-155.jpg" title="Case Photo #4" data-lity><b>Case Photo #4</b></a> <a href="CaseStudyImages/CS5CS4CS3CS2CS1TheKa-155.jpg" title="Case Photo #5" data-lity><b>Case Photo #5</b></a> <a href="CaseStudyImages/CS6CS5CS4CS3CS2CS1Th-155.jpg" title="Case Photo #6" data-lity><b>Case Photo #6</b></a> <a href="CaseStudyImages/CS7CS6CS5CS4CS3CS2CS-155.jpg" title="Case Photo #7" data-lity><b>Case Photo #7</b></a> <br>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. <br>There is extraosseous extension of the lesion measuring 3.6cm x 1.4cm x 5.5cm in size along the periosteum. <br>CT Scan without contrast is recommended to help further determine the matrix of his lesion as the next diagnostic test. <br> <br>CT Left Femur: <a href="CaseStudyImages/CS1TheKarateKidwithT-155.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> <br>Vascular malformation with both intra and extra-osseous components. <br> <br>MRA Left Femur: <a href="CaseStudyImages/CS8CS7CS6CS5CS4CS3CS-155.jpg" title="Case Photo #8" data-lity><b>Case Photo #8</b></a> <br>Intraosseous and extraosseous low flow venous malformation with a large draining vein along the medial cortex. Consultations: Orthopedic Oncology <br>Interventional Radiology <br>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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