Femoroacetabular Impingement With Systemic Symptoms

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Femoroacetabular Impingement With Systemic Symptoms - Page #3

Lab Studies: CBC, CMP, lipid panel, CK, TSH, ESR, CRP, RF, vitamin D 25-OH, tissue transglutaminase antibody and IgA, all within normal limits. Lyme antibody and ANA negative. Other Studies: 5/2017: X-ray left femur - read as normal per radiology 6/2017: X-ray lumbar spine - normal lumbar spine; left proximal femoral mass and bilateral femoroacetabular impingement Case Photo #1 8/2017: Bone scan left proximal femur - positive; MRI left femur - 10cm femoral mass 9/2017: Biopsy of left femur - consistent with chronic and acute inflammation and blood 12/2017: X-ray left femur - stable from prior 3/2018: MRI left femur - expanding lesion disrupting cortex Case Photo #2 3/2018: Open biopsy of left femoral mass - consistent with inflammation and blood 4/2018: Curettage of femoral lesion - consistent with Langerhans cell histiocytosis Consultations: Orthopedic oncology Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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