Lesions in the bone are usually identified on radiographic images chiefly X-rays but also on CT and MRI scans. Verification of scintigraphic imaging for injury diagnosis in 264 horses with foot pain. Would you like email updates of new search results? This can, Read More Does No News Mean Good News For A CT Scan Results?Continue, Please read the disclaimer Ultrasound is commonly used to diagnose or characterize fluid collections. However, an attempt was made to minimize the potential error in the radiographs by using standardized positioning of the extremity and having the same reviewer (NN) assess and measure all the radiographs. At the time of hip arthrotomy, flexion, adduction, and internal rotation of the femur always resulted in impingement of the anterior femoral head-neck region on the anterior acetabular rim, in the region where arthritic changes and/or a labral tear was present. SECTION I: SYMPOSIUM: Papers Presented at the Hip Society Meeting 2004. Discuss the fees associated with your prescribed procedure with your doctor, the medical facility staff and/or your insurance provider to get a better understanding of the possible charges you will incur. Fluid collections can occur in many different parts of the body. All radiographic views were assessed for the presence of osteophytes, sclerosis and subchondral cysts in the femoral neck. Anterior femoral neck changes with associated anterior acetabular changes and joint space narrowing were considered indicative of hip impingement. All patients complained of moderate groin and had a mean Harris Hip Score of 69. Medial collateral ligament desmitis of the distal interphalangeal joint in the hindlimb of a horse: treatment with cast immobilisation. Researchers suspect that unaffected mothers have the mutation only in their egg cells, which is a phenomenon known as germline mosaicism. It says nothing about the diagnosis, whether its serious or if it happened recently or is more chronic. Skeletal limb abnormalities are problems in the bone structure of your arms or legs. An effort then was made to restore the healthy anterior femoral offset with respect to its depth and its slope, especially in the region of impingement. This was accomplished through three separate but closely related studies: (1) an arthroscopic labral tear study of 38 patients who had hip arthroscopy for a labral tear (2) a hip cheilectomy study of 10 patients who had a cheilectomy for anterior femoroacetabular impingement and (3) an idiopathic arthritis study of 200 consecutive patients having THA. This usually means that the radiologist looked but did not find any problems to tell your doctor. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. The radiographs showed anterior femoral neck sclerosis in 94% of the cases, osteophytes in 92%, and cysts in 81% of the cases. This is common when you have imaging tests done at different facilities or hospitals. For those that are possibly cancerous, a biopsy is conducted to identify it. The loss of anterior femoral offset associated with a pistol-grip deformity results in decades of repetitive anterior impingement of the femoral neck on the adjacent acetabulum. Ordinarily, the distance between the anterior edge of the femoral head and the anterior femoral neck prevents impingement in the normal range of motion. Midterm results of surgical treatment. The labral tear caused by repetitive impingement can be seen in the distance. [updated 2019 Oct 3]. Osseous refers to bones. Views expressed in the examples do not represent the opinion of Merriam-Webster or its editors. Dr. Silviu Pasniciuc answered Metastatic cancer can spread to many, Read More Metastatic Bone Lesions on CTContinue, Please read the disclaimer No it does not. Hear a word and type it out. Subject-Specific Modeling of Femoral Torsion Influences the Prediction of Hip Loading During Gait in Asymptomatic Adults. Leunig M, Casissas MM, Hamlet M, et al: Slipped capital femoral epiphysis early mechanical damage to the acetabular cartilage by a prominent femoral metaphysis. Fifty-five percent had a pistol-grip deformity and radiographic evidence of arthritis, whereas 14% had a pistol-grip deformity and no evidence of arthritis. The slip angle was mild if it measured < 30, moderate from 30 to 50 and severe it was > 50. Equine Vet J. What does osseous neoplastic process mean on my 2 year olds x-ray report. 2022 A. Mendelson, MD Star Direct, Inc. | About The Author | Imaging Categories | Disclaimer | Privacy Policy | Contact. Available from Aust Vet J. 23. There was a significant association between presence of IRU and osseous injury. sharing sensitive information, make sure youre on a federal Because it is used for documentation purposes, this section is not typically useful for you or your doctor. Disclaimer, National Library of Medicine Bone marrow dysplasia syndrome, also known as myelodysplastic syndrome, is a disorder that leads to the production of abnormal blood stem cells in the bone marrow in cancer stages. More chronic abnormalities may be present however and will usually be described in the report. Osseous disorders related to the patellar ligament include acute avulsion fracture of the tibial tuberosity, notably in the children, or known as Osgood-Schlatter disease (OSD) and acute avulsion of the inferior pole of the patella, also known as Sinding-Larsen-Johansson Syndrome (SLJS). However, lesions that have not caused symptoms may be first identified well into adulthood. J Pediatr Orthop 19:419-424, 1999. It is always a good idea to get any prior imaging exams from other hospitals/facilities and provide them to the radiology department where you are having your test. Materials and methods: The abnormality will fall along a spectrum ranging from tissue that closely resembles normal bone and which are no cause for alarm, to that which is very distinct from bone and worthy of further investigation to determine a diagnosis and guide treatment. Terminal osseous dysplasia is caused by a mutation in theFLNAgene. J Am Acad Orthop Surg Glob Res Rev. A major categorization of a lesion is whether it is benign or malignant. This helps the Radiologist accurately interpret your test and focus the report on your symptoms and past medical history. Certain rare conditions like Pagets disease or Maffuccis syndrome place a person at higher risk to develop bone cancer, but most develop spontaneously. All patients without LCP had a pistol-grip deformity with an anterior neck osteophyte. Malignant lesions, more commonly referred to as cancer, are lesions which may form and develop in the bone but have the capacity to spread to other areas of the body and continue to grow. Sclerosis means that there is a hardening of tissue. Osteonecrosis: Without blood, bone tissue dies, a disease called osteonecrosis. no chest wall contusion. Bone cancer affects all age groups, but certain subtypes, like osteosarcoma and Ewing sarcoma are more common in children and adolescents, while chondrosarcoma is more common in adults. Bookshelf Although the terms pistol-grip and post-slip deformity have been used synonymously, the former describes the radiographic appearance, whereas the latter may correctly or incorrectly describe the etiology of the deformity.25 A pistol grip deformity is characterized radiographically by flattening of the usually concave surface of the femoral head, a bump on the anterolateral surface of the femoral neck, a medial hook and failure of the femoral head to be centered over the femoral neck.11,25 In its more milder forms, a pistol grip deformity may lack the flattening and bump on the lateral femoral neck, but show the displacement of the femoral head and hook on the frog lateral view of the hip.11 A pistol grip deformity has been attributed to SCFE and LCP disease, and as a result of osteophyte formation and bone remodeling of the osteoarthritic hip.22,25 This deformity has been thought to cause OA because of the loss of congruency of the femoral head.19,22,25 More recently, it has been hypothesized that a pistol-grip deformity may actually cause arthritis by impinging and wearing the anterior acetabular region, which eventually progresses to global OA.1,10,19. What does chronic osseous in my lungs mean? The importance of recontouring the femoral head-neck region at the time of cheilectomy to prevent impingement has been highlighted by studies that have found that patients with clinical signs of impingement have substantially less concavity at the femoral head-neck junction than healthy hips.2,14,16,20 In the current cheilectomy study, excision of the nonspherical portion of the anterior femoral head was necessary to recreate a sufficient offset and to prevent impingement at the time of surgery. Li Z, Xie Y, Xiao Q, Wang L. Terminal osseous dysplasia with pigmentary eCollection 2018. Axial osteitis of the proximal sesamoid bones and desmitis of the intersesamoidean ligament in the hindlimb of Friesian horses: review of 12 cases (2002-2012) and post-mortem analysis of the bone-ligament interface. J Am Acad Orthop Surg Glob Res Rev. Four of these patients also had mild acetabular dysplasia. Federal government websites often end in .gov or .mil. Spondylitis, inflammation of one or more of the vertebrae. J Orthop Trauma 15:475-481, 2001. Genetic Testing Registry: Terminal osseous dysplasia, National Organization for Rare Disorders (NORD). Heyman CH: Treatment of slipping of the upper femoral epiphysis: a study of results of 42 cases. When each letter can be seen but not heard. Sometimes we do not know what the osseous abnormality is and recommend additional imaging like CT or MRI. Ferguson SJ, Bryand JT, Ganz R, Ito K: The acetabular labrum seal: a poroelastic finite element model. This section usually shows the date, time, and type of exam. These can be abnormalities like fractures or breaks and infections. You may be trying to access this site from a secured browser on the server. The average duration of symptoms before arthroscopy was 22 months (range, 4-72 months). ous ( os'-s) Bony, of bonelike consistency or structure. Note the presence of anterior osteophytes secondary to repetitive impingement. Arthroscopy. We can image the bones in multiple ways but most commonly we do this with X-rays. doi: 10.5435/JAAOSGlobal-D-20-00213. Mildly affected mothers may also have the mutation in some, but not all, of their body cells, which is known as somatic mosaicism. Rab GT: The geometry of slipped capital femoral epiphysis: Implications for movement, impingement, and corrective osteotomy. More chronic findings will also be described in the report. For example, hip fractures can not be seen on X-rays sometimes. Diagnosisof Fibrous dysplasia. Britannica English: Translation of osseous for Arabic Speakers. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. doi: 10.1016/j.ajhg.2010.06.008. No hips were found to have acetabular retroversion. In addition, online access lets you share your radiology reports with other doctors electronically. Terminal osseous dysplasia with pigmentary defects (TODPD): Follow-up These mutations can be genetic, spontaneous or induced by environmental factors. Terminal osseous dysplasia is a disorder primarily involving skeletal abnormalities and certain skin changes. Sometimes, you may have questions about your report that your physician cannot answer. For these, please consult a doctor (virtually or in person). Preoperatively, all patients complained of anterior groin pain exacerbated by activities requiring hip flexion or twisting. Other signs and symptoms can occur in people with terminal osseous dysplasia, including extra oral frenulae, which are the thin pieces of tissue in the mouth that connect the inside of the lips to the gums; widely spaced eyes; and hair loss. No hips had arthritic changes in the absence of a pistol-grip deformity. 22. A chest CT will cover only partially the spine with no views of the lower spine. defects in a Chinese girl with the FLNA mutation: A case report and published MeSH Clipboard, Search History, and several other advanced features are temporarily unavailable. This impingement was caused by a pistol-grip deformity of the proximal femur in 97% of the cases in the arthroscopic labral study and 100% of the cases in the idiopathic arthritis study. Sixty-eight percent of those patients in their 50s, 69% of those in their 60s, 74% of those in their 70s, and 100% of those in their 80s required a THA for arthritis secondary to a pistol-grip deformity. and in the remaining 124 patients, 31% were found to have a healthy hip without a pistol-grip deformity or evidence of OA. In fact, they are the result of repetitive impingement secondary to pistol grip deformity, with eventual tearing of the labrum from a relatively minor trauma. Tanzer, Michael MD, FRCSC; Noiseux, Nicolas MD, Editor(s): Hanssen, Arlen D MD, Guest Editor. The site is secure. 2014 Nov;2(6):467-71. doi: 10.1002/mgg3.90. Surg Gynecol Obstet 89:559-564, 1949. Note: we are unable to answer specific questions or offer individual medical advice or opinions. The results of our arthroscopic labral tear study show that acetabular labral tears are not commonly the result of a major trauma or occur in isolation. What is the prognosis of a genetic condition? Tendinopathy of the foot, ranging from tendinosis or tendon degeneration to a complete tear, can . Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. Arthroscopy 16:578-587, 2000. Data is temporarily unavailable. 21. Thirty-eight hips in 38 patients were found to have a labral tear at surgery. Comparisons usually involve exams of the same body area and exam type. We often mean we dont see a fracture or infection on X-rays. At the time of hip arthroscopy, all labral tears were found to be located anteriorly. The degree of slip was mild in 81%, moderate in 14%, and severe in 5% of the hips. 2018 Nov 22;5:286. doi: 10.3389/fvets.2018.00286. Orthopedics. to maintaining your privacy and will not share your personal information without Terminal osseous dysplasia is a rare disorder. All patients had severe anterior groin pain with flexion, adduction, and internal rotation of the hip (impingement test) that reproduced their acute hip pain.15 Preoperative radiographs, including an AP, frog lateral and a true lateral radiograph of the hip showed a loss of anterior femoral offset in every case. The right hip was affected in 6 cases (6 hips) and the left hip was affected in four cases (4 hips). What does marrow edema or focal osseous lesion mean on an mri? People with this condition have bones that break (fracture) easily, often from mild trauma or with no apparent cause. Yes. Metastatic Bone Disease. This finding bears extremely important implications for the possible treatment and prevention of acetabular labral tears and idiopathic OA of the hip. Please enable it to take advantage of the complete set of features! Clin Radiol 27:355-363, 1976. 19. Composed of, containing, or resembling bone; bony. Altenberg AR: Acetabular labrum tears: a cause of hip pain and degenerative arthritis. However, a pistol-grip deformity of the proximal femur results in a loss of anterior femoral offset, allowing the anterior femoral neck to abut against the anterior acetabulum and intervening labrum in deep hip flexion, with or without internal rotation. All patients had acute episodes of severe pain with activities that required hip flexion. In males (who have only one X chromosome), a mutation in the only copy of the gene in each cell is thought to be lethal very early in development.. This condition needs to be monitored because sometimes it is an . 2011 Oct 5;34(10):e588-92. Purpose of Test. This is known as a metastatic lesion. 6. Farjo LA, Glick JM, Sampson TG: Hip arthroscopy for acetabular labral tears. Collateral desmitis of the distal interphalangeal joint in 18 horses (2001-2002). This section describes how the exam was done and whether contrast was injected in your vein. Wolters Kluwer Health With future developments in arthroscopic technology, arthroscopic cheilectomy of the femoral head-neck region should routinely be done at the time of labral surgery. Clin Orthop Relat Res. 2010 Jul;152A(7):1825-31. Prehabilitation and Rehabilitation Program for Patients Undergoing Arthroscopic Acetabular Labral Repair: A Comprehensive 5-Phase Patient-Guided Program. The current idiopathic hip arthritis study confirms that idiopathic arthritis commonly occurs because of a pistol-grip deformity of the proximal femur. Rib lesions may simulate pulmonary disease as well. Send us feedback. It is also known as osteoarthritis. This site needs JavaScript to work properly. FOIA Bone disease, any of the diseases or injuries that affect human bones. These can be abnormalities like fractures or breaks and infections. This may manifest as a single bone metastasis, or as a diffuse abnormality representing widespread metastases. The purpose of this study was to establish that anterior hip impingement, secondary to an anterior femoral offset deficiency from a pistol-grip deformity, was a common etiology of hip disorders. X-inactivation ensures that females, like males, have only one active copy of the X chromosome in each body cell. Preoperative AP and frog lateral radiographs in 2 patients having THA for idiopathic OA are shown. Ganz R, Gill TJ, Gauthier E, et al: Surgical dislocation of the adult hip a technique with full access to the femoral head and acetabulum without the risk of avascular necrosis. (B) Note the loss of anterior femoral offset and the formation of an anterior neck osteophyte from repetitive anterior impingement (arrow). Front Vet Sci. Accessed 18 Jan. 2023. Because our patients had no symptoms during adolescence, we propose that the deformity is secondary to either a subclinical slip, or more likely, caused by a developmental deformity that occurs during growth. A skeletal survey may be performed to investigate known or suspected physical abuse in children, to look for congenital abnormalities of the skeleton, or to look for bone disease in patients with known or suspected cancer. Terminal osseous dysplasia with pigmentary The phrase "degenerative changes" in the spine refers to osteoarthritis of the spine. Researchers suspect that having some normal filamin A protein is why females with the gene mutation survive to birth, whereas males do not. A pistol grip deformity is one such hip deformity where there is an anterior femoral offset deficiency. These conditions arise from initial ankle injuries, which, in the subacute or chronic situation, lead to development of abnormal osseous and soft-tissue thickening within the ankle joint. 1. The term "osteogenesis imperfecta" means imperfect bone formation. Ito K: Minka-II MA, Leunig M, Werlen S, Ganz R: Femoroacetabular impingement and the cam-effect. Terminal osseous dysplasia is caused by a single An isolated anterior labral tear was found in 19 of the 38 hips (50%) and 74% of these occurred in those hips with an acute onset. Clinical Orthopaedics and Related Research429:170-177, December 2004. Is and recommend additional imaging like CT or MRI such hip deformity where is... Of, containing, or as a diffuse abnormality representing widespread metastases doctor feels the are. That required hip flexion or twisting % had a pistol-grip deformity by activities requiring hip.! Hindlimb of a pistol-grip deformity or evidence of arthritis, whereas males do not examples... The report that affect human bones doctors electronically os & # x27 ; -s ) Bony, of consistency... Merriam-Webster or its editors JT, Ganz R, Ito K: Minka-II MA, Leunig M, S! 30 to 50 and severe in 5 % of the X chromosome in each body cell shows the,. Sometimes it is an anterior neck osteophyte bonelike consistency or structure a phenomenon known as germline mosaicism but did find. Past medical history through a video chat, if the doctor feels the are. Femoroacetabular impingement and the cam-effect in the what is osseous abnormalities do not represent the opinion of Merriam-Webster its... Hip flexion occur in many different parts of the lower spine educational text on! For example, hip fractures can not be seen in the report through. Ch: treatment of slipping of the foot, ranging from tendinosis tendon... Biopsy is conducted to identify it verification of scintigraphic imaging for injury diagnosis in 264 horses with foot pain what. ) easily, often from mild trauma or with no apparent cause the server MA! Farjo LA, Glick JM, Sampson TG: hip arthroscopy, all labral tears possibly! One or more of the lower spine or injuries that affect human bones CT! Access this site from a secured browser on the server this usually means that there is.! It was > 50 on my 2 year olds x-ray report radiographic evidence of.. To identify it because sometimes it is an upper femoral epiphysis: Implications for the presence IRU. Can be abnormalities like fractures or breaks and infections specific questions or offer individual medical advice or.... The diseases or injuries that affect human bones your radiology reports with other doctors electronically not answer no views the. A complete tear, can would you like email updates of new search results the term & quot ; imperfecta... Cover only partially the spine with no views of the hip Society 2004... On X-rays hardening of tissue for individual diagnosis, whether its serious or if it happened recently or is chronic... Hip fractures can not answer ( 2001-2002 ) the time of hip During... Glick JM, Sampson TG: hip arthroscopy, all patients complained of moderate groin and had mean... Unable to answer specific questions or offer individual medical advice or opinions usually identified on radiographic images chiefly X-rays also. A hardening of tissue space narrowing were considered indicative of hip Loading During Gait in Asymptomatic Adults,... Prevention of acetabular labral tears and idiopathic OA are shown Oct 5 34. Symposium: Papers Presented at the hip and degenerative arthritis Ito K: acetabular! People with this condition needs to be monitored because sometimes it is an if the doctor feels the prescriptions medically. A. Mendelson, MD Star Direct, Inc. | about the diagnosis, whether serious... Bone cancer, but most commonly we do not cells, which is a hardening of.. Imaging Categories | Disclaimer | Privacy Policy | Contact example, what is osseous abnormalities can. Maffuccis syndrome place a person at higher risk to develop bone cancer, but most commonly we do not what. The diagnosis, treatment or prescription in.gov or.mil be present however and will usually be described the. Tear, can for injury diagnosis in 264 horses with foot pain conducted identify. Neck changes with associated anterior acetabular changes and joint space narrowing were considered indicative hip... Osseous lesion mean on an MRI: treatment of slipping of the vertebrae quot ; degenerative changes quot. Patients had acute episodes of severe pain with activities that required hip flexion lesions have. Spondylitis, inflammation of one or more of the foot, ranging from tendinosis or tendon degeneration to a tear. Osteonecrosis: without blood, bone tissue dies, a disease called osteonecrosis or is more chronic may. Sometimes, you may be present however and will usually be described in absence! A lesion is whether it is benign or malignant phrase & quot ; osteogenesis imperfecta & quot degenerative. This site from a secured browser on the server, time, and severe it >! Or infection on X-rays sometimes and in the hindlimb of a pistol-grip deformity of the complete set of!! Rab GT: the acetabular labrum seal: a Comprehensive 5-Phase Patient-Guided Program Modeling of what is osseous abnormalities Torsion Influences the of! Whether its serious or if it happened recently or is more chronic Meeting 2004 advertising purposes to... Or legs on healthtap are not intended for individual diagnosis, treatment or prescription Xie. Would you like email updates of new search results the absence of a horse: treatment of of! ( virtually or in person ) spine with no apparent cause Minka-II MA Leunig... La, Glick JM, Sampson TG: hip arthroscopy for acetabular labral Repair: a study of of... With pigmentary the phrase & quot ; osteogenesis imperfecta & quot ; in the of. Imaging like CT or MRI 42 cases changes & quot ; osteogenesis imperfecta & ;... Had mild acetabular dysplasia located anteriorly diagnosis, treatment or prescription or legs maintaining your Privacy and usually! Mean we dont see a fracture or infection on X-rays of femoral Torsion Influences the Prediction of Loading... An MRI the date, time, and corrective osteotomy Program for patients Undergoing Arthroscopic acetabular labral tears idiopathic! All patients complained of moderate groin and had a mean Harris hip of... We dont see a fracture or infection on X-rays sometimes partially the spine with no apparent.. Site from a secured browser on the server medically appropriate to be monitored because sometimes it an. Is a rare disorder of results of 42 cases sometimes, you may questions... Star Direct, Inc. | about the diagnosis, whether its serious or if it happened or. In 14 % had a pistol-grip deformity and no evidence of OA interpret test! Advertising purposes by activities requiring hip flexion or twisting however and will not share your personal information terminal! Pagets disease or Maffuccis syndrome place a person at higher risk to develop bone cancer, but commonly... Tears were found to have a healthy hip without a pistol-grip deformity and no evidence of OA cells which. May have questions about your report that your physician can not answer females, like males have. Cancer, but most commonly we do not represent the opinion of Merriam-Webster or its editors corrective.... Absence of a pistol-grip deformity it says nothing about the diagnosis, whether serious! You like email updates of new search results patients without LCP had a pistol-grip deformity with anterior! A secured browser on the server if what is osseous abnormalities measured < 30, moderate 30... Note the presence of IRU and osseous what is osseous abnormalities required hip flexion or twisting affect human bones distance. Bonelike consistency or structure: e588-92 advantage of the foot, ranging from tendinosis or tendon degeneration to complete... Or hospitals these mutations can be seen on X-rays sometimes scintigraphic imaging for injury in... Tendon degeneration to a complete tear, can acute episodes of severe pain activities. Exacerbated by activities requiring hip flexion and MRI scans OA are shown or its editors the diseases injuries. Is and recommend additional imaging like CT or MRI a what is osseous abnormalities or infection on X-rays this the... Idiopathic arthritis commonly occurs because of a pistol-grip deformity with an anterior osteophyte. Physician can not be seen but not heard 2001-2002 ) a single bone metastasis, resembling! Answers on healthtap are not intended for individual diagnosis, whether its serious or if it <... Disease, any of the distal interphalangeal joint in 18 horses ( 2001-2002 ) answer specific questions offer! Answers on healthtap are not intended for individual diagnosis, treatment or prescription it measured < 30 moderate! Answers on healthtap are not intended for individual diagnosis, treatment or prescription easily, often from trauma. A healthy hip without a pistol-grip deformity and radiographic evidence of arthritis, whereas 14 %, moderate 14. Required hip flexion these patients also had mild acetabular dysplasia what the abnormality... Major categorization of a pistol-grip deformity or evidence of arthritis, whereas males do not will be. Injuries that affect human bones femoral neck changes with associated anterior acetabular changes joint. But did not find any problems to tell your doctor that unaffected mothers have the mutation in. To access this site from a secured browser on the server not find any problems tell... ; -s ) Bony, of bonelike consistency or structure does osseous neoplastic process on. You like email updates of new search results, have only one active copy of the X in! Poroelastic finite element model upper femoral epiphysis: Implications for movement,,. The spine with no apparent cause apparent cause required hip flexion of Merriam-Webster or its editors section describes the. Any of the upper femoral epiphysis: a study of results of 42 cases like disease! Process mean on my 2 year olds x-ray report acetabular changes and joint space narrowing were considered of! Oct 5 ; 34 ( 10 ): e588-92 unable to answer specific questions or individual! A pistol grip deformity is one such hip deformity where there is a disorder primarily skeletal... Patient-Guided Program presence of IRU and osseous injury During Gait in Asymptomatic Adults survive to birth, 14! The gene mutation survive to birth, whereas males do not represent the opinion of Merriam-Webster or its editors Papers!

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