EURORAD ESR

Case 14777

Rice bodies associated with rheumatoid arthritis

Author(s)
Thomas De Clercq1, Aliaksandr Anisau2, Filip Vanhoenacker234

1 University Hospitals Leuven, Herestraat 49, 3000 Leuven, Belgium
2 Department of Radiology, AZ Sint-Maarten, Duffel-Mechelen, Belgium
3 University Hospital Antwerp, Department of Radiology, University Hospital Antwerp; Wilrijkstraat, 10 2650 Antwerp, Belgium
4 University of Ghent, Faculty of Medicine and Health Sciences, De Pintelaan 185, 9000 Ghent
Email:filip.vanhoenacker@telenet.be
 
Patient
female, 57 year(s)
 
 
  • Figure 1
    Anteroposterior plain radiography of the right shoulder

    Plain radiography of the shoulder shows degenerative changes at the acromioclavicular joint with osteophyte formation (arrow). Note the presence of partially sclerotic delineated radiolucent lesions superolateral...

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: Conventional radiography; Procedure: History; Special Focus: Arthritides;
     
     
  • Figure 2
    Shoulder arthrogram
     

    The anteroposterior view shows irregular delineation of the joint capsule (white arrowheads).

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: Conventional radiography; Procedure: Arthrography; Special Focus: Arthritides;

    The scapular Y-view shows multiple intra-articular filling defects (black arrowheads). Note also contrast leakage at the articular side of the infraspinatus in keeping with a partial tendon tear (long arrow).

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: Conventional radiography; Procedure: Arthrography; Special Focus: Arthritides;
     
     
  • Figure 3
    Magnetic resonance of the right shoulder
     

    Oblique sagittal T1-WI slice shows multiple intra-articular hypointense foci in keeping with rice bodies (arrowheads).

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: MR; Procedure: Arthrography; Special Focus: Arthritides;

    Oblique sagittal T1-WI more laterally shows huge erosions at the superolateral aspect of the humeral head (arrows).

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: MR; Procedure: Arthrography; Special Focus: Arthritides;

    Oblique sagittal T1-WI with fat suppression shows multiple intra-articular hypointense foci (arrowheads).

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: MR; Procedure: Arthrography; Special Focus: Arthritides;

    Coronal T2-WI with fat suppression shows intra-articular hypointense foci in keeping with rice bodies (arrowheads).

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: MR; Procedure: Arthrography; Special Focus: Arthritides;

    Axial T1-WI with fat suppression shows the multiple erosions at the anterior and posterior side of the humeral head (arrows).

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: MR; Procedure: Arthrography; Special Focus: Arthritides;
     
     
  • Figure 4
    Plain radiography of hands and feet
     

    Anteroposterior view of the feet shows multiple sclerotic delineated erosions and cartilage loss at the metatarsophalangeal joints and fusion of the second proximal interphalangeal joint of the left foot due to...

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: Conventional radiography; Procedure: History; Special Focus: Arthritides;

    Anteroposterior view of the hands shows sequelae of long-standing rheumatoid arthritis with cartilage loss and joint destruction, particularly at the left metacarpophalangeal joint II and the right metacarpophalangeal...

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: Conventional radiography; Procedure: History; Special Focus: Arthritides;
     
     
Plain radiography of the shoulder shows degenerative changes at the acromioclavicular joint with osteophyte formation (arrow). Note the presence of partially sclerotic delineated radiolucent lesions superolateral aspect of the humeral head (arrowheads).
 
The anteroposterior view shows irregular delineation of the joint capsule (white arrowheads).
 
The scapular Y-view shows multiple intra-articular filling defects (black arrowheads). Note also contrast leakage at the articular side of the infraspinatus in keeping with a partial tendon tear (long arrow).
 
Oblique sagittal T1-WI slice shows multiple intra-articular hypointense foci in keeping with rice bodies (arrowheads).
 
Oblique sagittal T1-WI more laterally shows huge erosions at the superolateral aspect of the humeral head (arrows).
 
Oblique sagittal T1-WI with fat suppression shows multiple intra-articular hypointense foci (arrowheads).
 
Coronal T2-WI with fat suppression shows intra-articular hypointense foci in keeping with rice bodies (arrowheads).
 
Axial T1-WI with fat suppression shows the multiple erosions at the anterior and posterior side of the humeral head (arrows).
 
Anteroposterior view of the feet shows multiple sclerotic delineated erosions and cartilage loss at the metatarsophalangeal joints and fusion of the second proximal interphalangeal joint of the left foot due to previous surgery.
 
Anteroposterior view of the hands shows sequelae of long-standing rheumatoid arthritis with cartilage loss and joint destruction, particularly at the left metacarpophalangeal joint II and the right metacarpophalangeal joint I and multiple interphalangeal locations.
 
 
 
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