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Andrew M. Ball PT PhD -> Re: low back pain with radiculitis (September 30, 2005 7:40:00 PM)
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Strange looking left SI joint and scoliosis, as others have stated, but then again, we've all seen horrific radiographs that are asymptomatic. I agree with Greg's point about normal varience. The top image, while it's clearly an A/P image based upon what's being centered, looks almost A/P in the spine, and not quite like an oblique view of the SI joint. Looking at the complimentary view, however, doesn't look like quite so much torsion.
One point that no one's really touched on much is the left hip. It's hard to tell about the left hip because the image is cut off (e.g. not the focus of the imaging study), but it looks as though there is somewhat of an osteoarthritic radiographic pattern complete with radiodensity through weight bearing areas and surrounding radiolucency. RA, by contrast, tends to look a bit more all encompassing.
One type of hip arthritis is associated with migration of the femoral head in a superior and medial direction (as is not the case here). Anyone want to take a guess?
Drew
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