EURORAD ESR

Case 11401

A pseudotumour due to moderate metal-on-metal disease in a patient with a metal-on-metal total hip replacement

Author(s)
M.E.A.P.M. Adriaensen1, A.P. Parkar2, R.M. Kwee3

1 Atrium Medical Center Parkstad, Heerlen, the Netherlands
2 Haraldsplass Diakonale Sykehus, Bergen, Norway
3 Maastricht University Medical Center, Maastricht, the Netherlands
 
Patient
female, 64 year(s)
 
 
  • Figure 1
    Radiograph of the pelvis

    Radiograph of the pelvis was performed showing bilateral total hip replacements.

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 2
    Ultrasound of the right hip

    Ultrasound of the right hip was performed showing a collection in the soft tissues around the right hip with a fluid-debris level.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 3
    MRI of the right hip

    Axial T1-weighted MRI of the pelvis. MRI (Fig. 3-6) showing a periprosthetic fluid-filled cavity around the right hip with a diameter of more than 5 cm and a ‘fluid-fluid level’.

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 4
    MRI of the right hip

    Axial T2-weighted MRI of the pelvis. MRI (Fig. 3-6) showing a periprosthetic fluid-filled cavity around the right hip with a diameter of more than 5 cm and a ‘fluid-fluid level’.

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 5
    MRI of the right hip

    Axial TIRM (turbo inversion recovery magnitude) MRI of the pelvis. MRI (Fig. 3-6) showing a periprosthetic fluid-filled cavity around the right hip with a diameter of more than 5 cm and a ‘fluid-fluid level’.

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 6
    MRI of the right hip

    Sagittal T2-weighted MRI of the pelvis. MRI (Fig. 3-6) showing a periprosthetic fluid-filled cavity around the right hip with a diameter of more than 5 cm and a ‘fluid-fluid level’.

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
Radiograph of the pelvis was performed showing bilateral total hip replacements.
 
Ultrasound of the right hip was performed showing a collection in the soft tissues around the right hip with a fluid-debris level.
 
Axial T1-weighted MRI of the pelvis. MRI (Fig. 3-6) showing a periprosthetic fluid-filled cavity around the right hip with a diameter of more than 5 cm and a ‘fluid-fluid level’.
 
Axial T2-weighted MRI of the pelvis. MRI (Fig. 3-6) showing a periprosthetic fluid-filled cavity around the right hip with a diameter of more than 5 cm and a ‘fluid-fluid level’.
 
Axial TIRM (turbo inversion recovery magnitude) MRI of the pelvis. MRI (Fig. 3-6) showing a periprosthetic fluid-filled cavity around the right hip with a diameter of more than 5 cm and a ‘fluid-fluid level’.
 
Sagittal T2-weighted MRI of the pelvis. MRI (Fig. 3-6) showing a periprosthetic fluid-filled cavity around the right hip with a diameter of more than 5 cm and a ‘fluid-fluid level’.
 
 
 
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