Ferris M. Hall

Medial Segond-type fracture: cortical avulsion off the medial tibial plateau associated with tears of the posterior cruciate ligament and medial meniscus.

Abstract We describe an unusual cortical avulsion fracture off the medial tibial plateau of the knee associated with tears of the posterior cruciate ligament and the medical meniscus. This constellation of findings is the reverse of that seen with the Segond injury complex. We postulate that the plain film diagnosis of this fracture, like the Segond fracture, is a clue to the likely presence of associated ligamental and meniscal tears, and to the mechanism of injury.

Osteosclerotic myeloma variants

We describe three patients with sclerotic multiple myeloma. One patient had diffuse bone sclerosis, one had mixed sclerotic and lytic lesions, and the third had POEMS syndrome. The radiological, clinical, and etiological features of sclerotic myeloma variants are discussed.

Case report 526

Address correspondance to: F.M. Hall, M.D., Department of Radiology, Beth Israel Hospital, 330 Brookline Avenue, Boston, M A 02115, USA Symptoms persisted and the patient underwent additional imaging examinations but no further surgery. Postoperative CT studies in 1984 (Fig. 1 B) and 1988 (Fig. 1C) showed the appearance and subsequent enlargement of a lesion in the ilium. This lesion was also visualized on magnetic resonance imaging (MRI) (Fig. 1 D), but was not seen on corresponding plain radiographs. No further specific treatment was given and low grade back pain persisted.

Society of breast imaging residency and fellowship training curriculum

A recently developed Society of Breast Imaging curriculum for residency training is intended to provide guidance to residents and their mentors, and to practicing radiologists who want to keep up to date in screening, diagnosis, and interventional procedures. The curriculum contains lists of key concepts in 14 subject areas: epidemiology; anatomy; pathology, and physiology; equipment and technique; quality control; interpretation; problem-solving mammography; ultrasound; interventional procedures; reporting and medicolegal aspects; screening; MR imaging; therapeutic considerations; and patient management principles. The curriculum also makes recommendations about residency training, including the number of examinations the resident should interpret, and the time the resident should spend in breast imaging. Recommendations for fellowship training are also discussed.

Solitary osteosclerotic plasmacytoma: association with demyelinating polyneuropathy and amyloid deposition.

Abstract.A 51-year-old man presented with a 1-year history of polyneuropathy necessitating the use of a wheelchair. Initial diagnosis was idiopathic chronic inflammatory demyelinating polyneuropathy (CIDP) and associated monoclonal gammopathy. Investigations for multiple myeloma, including bone marrow aspiration and biopsy, were negative. What was initially felt to be an incidental osteosclerotic focus noted on the radiographic bone survey was eventually shown to be a solitary osteosclereotic plasmacytoma with associated amyloid. This dramatically altered treatment. This case emphasizes the importance of including osteosclerotic plasmacytoma in the differential diagnosis of a focal sclerotic bone lesion in the clinical setting of polyneuropathy. These lesions are less likely to progress to multiple myeloma than lytic plasma cell neoplasms, and the presence of polyneuropathy often results in earlier diagnosis and treatment with enhanced prospect of cure. The finding of amyloid deposition within the osteosclerotic lesion may be of prognostic importance.

Findings of Unknown Etiology but Doubtful Significance

Findings of Unknown Etiology but Doubtful Significance I enjoy the “Speaking of Language” feature in JACR, particularly the recent articles, editorials, and letters discussing whether radiologists should report presumably incidental or insignificant finding [1-4]. I generally favor mentioning such findings, particularly if there is a remote chance they could be of significance or if their significance might be questioned by others. My general approach is to give a very brief description and then note that “this finding is of unknown etiology but doubtful significance.” Assuming the remainder of the findings are normal,

Osteonecrosis of the Hip

* See Last Page for Key 2015 Review Murphey Page 1 Reference Study Type Patients/ Events Study Objective (Purpose of Study) Study Results Study Quality 1. Murphey MD, Foreman KL, KlassenFischer MK, Fox MG, Chung EM, Kransdorf MJ. From the radiologic pathology archives imaging of osteonecrosis: radiologic-pathologic correlation. Radiographics. 2014;34(4):1003-1028. Review/OtherDx N/A To review the underlying pathology of osteonecrosis. No results stated in abstract. 4