Diagnostic Imaging Quiz
Answer
a) LM
b) DLPaMO (the palmarolateral skin lesion
is likely associated with the bony lesion
therefore the DMPaLO view would not be
the next view taken)
c) If only the LM view was taken: radiological
changes:
a. Mild soft tissue swelling proximal
palmar metacarpus area
b. Focal skin irregularity and increased
opacity palmar proximal metacarpal
area
c. Focal shallow concavity proximal
diaphysis either Mc2/Mc4
d. Irregular vertically orientated
mineralised sliver within the Mc2
(or Mc4) concavity
e. Sclerotic Mc2 (or Mc4) bone around the
concavity
f. Focal periosteal new bone palmar Mc2
(or Mc4) immediately distal to concavity
distal
d) Sequestrum formation with associated
early involucrum formation and sinus tract,
proximal palmarolateral aspect Mc4.
Question on page 22
• Volume 16 no 1 • March 2014 •
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