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Diagnostic Imaging in Patient with Elbow Pain: History

Veronika Sharp, MD, Midori Jane Nishio, MD, and Lily Kao, MD  |  Issue: May 2015  |  

Editor’s note: In this recurring feature, we first present a series of images (this page) for your review, and then a brief discussion of the findings and diagnosis. Before you turn to the discussion, examine these images carefully and draw your own conclusions.

History

These images were taken of an 85-year-old female with a one-year history of right antecubital fossa swelling and pain. She avidly crocheted.

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The findings and discussion.

Figure 1: Transverse 18 MHz ultrasound image over the right antecubital fossa at a level distal to the joint line. The left side of the image is medial, and the right side is lateral (R: radius, br: brachialis muscle, a: brachial artery, b: biceps tendon). & Figure 1 (left): Transverse 18 MHz ultrasound image over the right antecubital fossa at a level distal to the joint line. The left side of the image is medial, and the right side is lateral (R: radius, br: brachialis muscle, a: brachial artery, b: biceps tendon).

Figure 1 (left): Transverse 18 MHz ultrasound image over the right antecubital fossa at a level distal to the joint line. The left side of the image is medial, and the right side is lateral (R: radius, br: brachialis muscle, a: brachial artery, b: biceps tendon). & Figure 2 (above): Longitudinal 18 MHz ultrasound image over the right antecubital fossa at a level distal to the joint line. The left side of the image is proximal; the right side is distal (R: radius, br: brachialis muscle, b: biceps tendon).

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