Pattern recognition: Testicular Sonography.
I have spent the past few weeks perfecting my knowledge of testicular sonography, and I'll be sharing some of the most important patterns you should know in three parts.
Here's part 1. 👇👇
Contributions and corrections are welcome.
Quiz: What's the difference between an epididymal cyst and spermatocele on ultrasound?
@araujo_yov Esa promo no me cuadra, le regalé a mami una Greca de esa marca y ni la usa, prefiere su greca vieja, además Café Santo Domingo Regala grecas.
65-year-old man with acute ulnar-sided wrist pain. Referred from the ER to rule out fracture.
X-ray shows an amorphous (cloud-like) calcification just proximal to the pisiform, with adjacent soft tissue swelling.
This is typical of calcific tendinosis of the flexor carpi ulnaris tendon insertion, due to Hydroxyapatite Deposition Disease (HADD).
Often presents with acute, severe pain when the deposits becomes inflamed (resorptive phase).
No cortical break, no true fracture fragment
In the same patient, there is a separate, sharp linear subtle calcification in the triangular fibrocartilage complex (chondrocalcinosis) , consistent with Calcium Pyrophosphate Deposition Disease-(CPPD).
Do not mix the two:
•HADD (FCU) → amorphous, cloud-like, peri-tendinous.
•CPPD (TFCC) → thin, linear, cartilage-based.
Both can coexist. The painful one is usually HADD. CPPD is often incidental.
— Pearls, pitfalls and wisdom from today’s reporting list