Weekly Case

Title : case 195

Age / Sex : 47 / F


Age / Sex : 47/F


Chief complaint : knee joint pain





1) What is your impression?

Two weeks later, you can see the final diagnosis with a brief discussion of this case.

* Send Application Answers to In Sook Lee, MD ([email protected])

Courtesy : In Sup Song, Chung-Ang University Hospital


Diagnosis:

Pes Anserine Bursitis



Discussion


Findings:


 Cystic lesion in typical location of pes Anserine bursa.


The Pes Anserine bursa is located between sartorius, gracilis and semitendinous tendon insertion site.


 


Differential Diagnosis:


 


Diagnosis:  


 


Pes anserine bursitis


Discussion:


 Pes Anserine bursitis is characterized by fluid anterior to the conjointed tendons of the sartorius, semitendinosus and gracilis tendon that demonstrates low signal intensity on T1 and hyper intensity on PD and T2 image.


There may be a septation or hemorrhage within the bursa.


Pes bursitis may be associated with athletic activity or degenerative arthritis


 


References:


 


pp. 562 Magnetic Resonance Imaging in Orthopaedics and Sponts Medicine 3rd Edition


David Stoller



Correct Answer
Name Institution
total applicants 22
correct answer 13
김승수 (전공의) 순천향대학천안병원
최성규 스마일영상의학과
윤영철 삼성의료원
박희진 명지병원
이승훈 한양대학교병원
김성현 자생의원
김현지 (전공의) 세브란스병원
홍새롬 (전공의) 세브란스병원
정진영 (전공의) 삼성의료원
이형진 (전공의) 세브란스병원
김건우 (전공의) 경희의료원
김인환 동군산병원
최희석 부평세림병원
semi-corret answer 1
이경규 한강성심병원

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