Sunday 27 December 2020
GCT of tendon sheath
Talocalcaneal ganglion cyst
Sunday 6 December 2020
COVID 19 Cerebritis
Clinically: A known case of COVID 19 positive admitted for fever and breathlessness.
After five days of hospital admission developed sinusitis, headache and started worsening repidly. Subjected for MRI due to sudden onset loss of consciousness and neurological examination revealed new onset ophthalmoplegia.
Madhura mycosis of foot
Sagittal T1w Sagittal STIR |
A lobulated abnormal soft tissue measuring approximately 70 mm in length and 40 mm in depth on dorsal aspect of foot encasing extensor tendons with hypo intense signal on T2-weighted images, “dot in a circle” sign on MRI.
Soft tissue density on x-ray without dystrophic calcification on x-ray. Lytic destruction of adjacent anterior corner of tibia on MRI and x-ray. Associated tibio talar joint effusion. Multifocal ovoid lytic lesion with sclerotic rim on x-ray involving distal end of tibia with fluid signal on MRI. Marginal lytic destruction of distal end of fibula. Circumferential punched-out marginal erosion of neck of talus which is markedly thinned out with an associated marrow oedema on STIR. Multifocal marrow oedema involving tarsal bones, tenosynovitis of extensor as well as plantar tendons.
Multiple ulcers, nodules and discharging sinuses on skin of dorsal aspect of foot when examined clinically.
Imaging diagnosis: Madhura mycosis of foot with osteomyelitis of tibia.