C-2104 - Watch Out MSK Radiologist: It’s not all about bones and muscles!
C-2104 - Watch Out MSK Radiologist: It’s not all about bones and muscles!L. U. Aivazoglou1, K. Nishiyama2, F. Velloni3, T. O. Morita2, R. Blasbalg2, H. P. Guidorizzi2, C. Longo2, A. Y. Aihara2, F. Cardoso2; 1 Sao Paulo/BR 2 São Paulo/BR 3 SÃO PAULO/BR Type: Educational Exhibit
Area of Interests: Abdomen, Musculoskeletal system, Thorax
Imaging Technique: MR
Procedure: Observer performance
Special Focus: Cancer
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Learning objectives: Review cases of easily-missed, significant non-musculoskeletal findings in musculoskeletal exams. Present an overview to the MSK radiologist of relevant imaging findings of non-MSK organs encountered in the daily MSK radiologist clinical routine.
Background: Radiology as a specialty has greatly evolved over the past 2 decades. Technological innovations and widespread availability of modern imaging techniques have made it nearly impossible for the general radiologist to have full knowledge of the different subspecialties. The opposite is also true, sin[...]
Findings and procedure details: 1. Spine and pelvis The most concerning findings when analyzing spine and pelvis CT and MR relate to the aorta (aneurysm, dissection), lymph node enlargement and other organs expansile lesions. Cervical and thoracic spine: Concerning the cervical region, besides lymph node disease (Fig. 1),[...]
Conclusion: Careful observation outside the immediate region of interest creates opportunity for early diagnosis of potentially life threatening conditions or even diagnosis of the real cause of the patient's symptoms, with an expressive impact in the management and prognosis.
References: Whang et al. Radiology 2013;266(2):548-554 Cannavale et al. Radiol Res Pract 2013;e219259 Fileni et al. Radiol Med 2013;118(8):1388-96 Seah et al. Injury 2016;47(3):691-4 Cieszanowski et al. PLoS One 2014;9(9):e107840 Quattrocchi et al. Insights Imaging 2013;4:301-8 Tuncel et al. Korean [...]