Presentation
Right hip pain after fall.
Patient Data
Age: 60 years
Gender: Female
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No fracture or dislocation.
From the case:
Intertrochanteric femur fracture - spectral CT
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Bone marrow edema in the right intertrochanteric region is seen on calcium suppression images.
Subtle sclerosis in the intertrochanteric region is seen on coronal bone window images. No cortical breach was seen. Compare with the opposite site.
From the case:
Intertrochanteric femur fracture - spectral CT
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Intertrochanteric fracture line seen on T1 with fluid and edema on STIR images.
Case Discussion
Calcium suppression images showing bone marrow edema are useful in detecting occult nondisplaced acute fractures.
This is a useful application of spectral/dual energy CT.
MRI helped in confirming the diagnosis.
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