EURORAD ESR

Case 14322

Shoulder rheumatoid arthritis

Author(s)
Raquel Monreal Beortegui, Jokin Zabalza Unzué, Ainhoa Ovelar Ferrero, Nerea Baraibar Argota.

Complejo Hospitalario de Navarra
 
Patient
female, 69 year(s)
 
 
  • Figure 1
    Shoulder X-ray

    Shoulder soft tissue swelling and erosion of the distal clavicle.

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 2
    Coronal MRI images
     

    Coronal T1-weighted image: Multiple intraarticular loose bodies (“rice bodies”) hypointense on T1.

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Coronal T2-weighted fat saturated image: Multiple intraarticular loose bodies (“rice bodies”) hypointense on T2.

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Coronal T1 weighted fat saturated post gadolinium image: Synovial thickening with gadolinium enhancement

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 3
    Coronal and axial T1-weighted fat saturated post gadolinium images
     

    Enhacement of the thickened synovium with intraarticular loose bodies and erosion of the distal clavicle with inflammatory changes associated

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Decreased thickness of the glenohumeral cartilage (arrowhead) and humeral head erosion (arrow)

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 4
    Gradient-echo sequence

    Hypointensity of the intra-articular loose bodies. No magnetic susceptibility artefact is present.

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
Shoulder soft tissue swelling and erosion of the distal clavicle.
 
Coronal T1-weighted image: Multiple intraarticular loose bodies (“rice bodies”) hypointense on T1.
 
Coronal T2-weighted fat saturated image: Multiple intraarticular loose bodies (“rice bodies”) hypointense on T2.
 
Coronal T1 weighted fat saturated post gadolinium image: Synovial thickening with gadolinium enhancement
 
Enhacement of the thickened synovium with intraarticular loose bodies and erosion of the distal clavicle with inflammatory changes associated
 
Decreased thickness of the glenohumeral cartilage (arrowhead) and humeral head erosion (arrow)
 
Hypointensity of the intra-articular loose bodies. No magnetic susceptibility artefact is present.
 
 
 
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