Transient What? I Thought That Was More Permanent

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Transient What? I Thought That Was More Permanent - Page #3

Lab Studies: None. Other Studies: Imaging: <br>1. Initial right hip x-ray: Mild degenerative changes with osseous demineralization. <br>2. Initial right hip MRI: Extensive edema within the right femoral head and neck with low T1 signal in the femoral head subchondral bone. Decrease size of right inguinal subcutaneous cyst. <a href="CaseStudyImages/CS1TransientWhatITho-655.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> (Photo 1. Initial MRI coronal image). <a href="CaseStudyImages/CS2CS1TransientWhatI-655.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> (Photo 2. Initial MRI axial image). <br>3. 6 week follow-up right hip x-ray: no femoral collapse or findings that correlate with prior MRI. <br>4. 6 week follow-up right hip MRI: Significant interval improvement in the degree of marrow edema within the right femoral head and neck, no fracture. <a href="CaseStudyImages/CS3CS2CS1TransientWh-655.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a> (Photo 3. Follow-up MRI coronal image). <a href="CaseStudyImages/CS4CS3CS2CS1Transien-655.jpg" title="Case Photo #4" data-lity><b>Case Photo #4</b></a> (Photo 4. Follow-up MRI axial image). <br>5. 12 week follow-up DEXA scan: Osteopenia, T-scores lumbar -0.4, femur -1.4, femoral neck -1.6. Consultations: None. Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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