EURORAD ESR

Case 15459

A pediatric case of primary synovial chondromatosis

Author(s)
Romano Nicola, Sertorio Fiammetta, Schiaffino Simone, Magnano Gian Michele

Largo Rosanna Benzi 10 16132 Genova, Italy; Email:fiammetta.sertorio@gmail.com
 
Patient
male, 4 year(s)
 
 
  • Figure 1
    X rays of the right ankle
     

    Anteroposterior view: Multiple radiopaque loose bodies in adjacent to the medial malleolus, associated with soft tissue swelling

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Connective tissue disorders;

    Lateral view: Multiple radiopaque loose bodies projected on the posterior side of the talus

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Connective tissue disorders;
     
     
  • Figure 2
    MRI
     

    Sagittal T1w sequence: loose bodies

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Connective tissue disorders;

    Coronal T1w sequence: loose bodies

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Connective tissue disorders;

    Coronal STIR sequence: loose bodies without bone oedema

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Connective tissue disorders;

    3DmFFE Wats sequence: loose bodies within the thickened synovium

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: MR; Procedure: Ablation procedures; Special Focus: Connective tissue disorders;
     
     
  • Figure 3
    CT
     

    Axial CT: multiple ossifications with the typical central fat attenuation on the medial side of the right ankle, posterior and medially the talus. The study shows no bone erosions.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Connective tissue disorders;

    Coronal CT: multiple ossifications on the medial side of the right ankle without bone erosions.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Connective tissue disorders;

    Sagittal CT: multiple posterior ossifications of the right ankle without bone erosions.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Connective tissue disorders;

    CT 3D reconstruction: multiple posterior ossifications of the right ankle

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Connective tissue disorders;
     
     
Anteroposterior view: Multiple radiopaque loose bodies in adjacent to the medial malleolus, associated with soft tissue swelling
 
Lateral view: Multiple radiopaque loose bodies projected on the posterior side of the talus
 
Sagittal T1w sequence: loose bodies
 
Coronal T1w sequence: loose bodies
 
Coronal STIR sequence: loose bodies without bone oedema
 
3DmFFE Wats sequence: loose bodies within the thickened synovium
 
Axial CT: multiple ossifications with the typical central fat attenuation on the medial side of the right ankle, posterior and medially the talus. The study shows no bone erosions.
 
Coronal CT: multiple ossifications on the medial side of the right ankle without bone erosions.
 
Sagittal CT: multiple posterior ossifications of the right ankle without bone erosions.
 
CT 3D reconstruction: multiple posterior ossifications of the right ankle
 
 
 
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