The MSK service is one of the busiest and highest profile sections in the Department, serving Stanford Hospital and Clinics (SUH) as well as part time coverage at the Palo Alto VA Medical Center (PAVAMC).  Exam volumes in 2012 surpassed 60,000, including nearly 10,000 MRI studies and over 1,000 injection and interventional procedures.  February 2013 marked the fourth anniversary of comprehensive MSK services at the Stanford Medicine Outpatient Center in Redwood City.  This center has six diagnostic x-ray rooms, two 3T MRI scanners, a multidetector CT scanner, two radiography and fluoroscopy rooms, and an ultrasound room, all immersed in a beautifully appointed facility staffed with highly talented and committed staff.   MSK provides interpretation of skeletal radiographs (x-rays), MRI, CT, and diagnostic US.  Using fluoroscopy or US guidance, we inject or aspirate joints, tendon sheaths, and benign soft tissue collections.  Recent enhancements to the clinical service include improved methods for MRI in patients with metallic implants, MR neurography, and special injections of biological agents such as platelet rich plasma.  We provide all MSK imaging and image-guided therapeutic procedures to Stanford athletics as well as to the San Francisco 49ers Football Club and the Golden State Warriors Basketball Club.