EURORAD ESR

Case 15487

Tubercular flexor tendon tenosynovitis with rice body formation

Author(s)
Nimesh Gupta, Navni Garg

W Pratiksha Hospital,
Gurgaon, India
Email:dr.nimesh.gupta88@gmail.com
 
Patient
male, 43 year(s)
 
 
  • Figure 1
    X RAY

    Radiograph (AP VIEW) of right hand reveals soft tissue swelling involving the right middle finger.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: Digital radiography; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 2
    X RAY

    Radiograph (LAT VIEW) of right middle finger reveals soft tissue swelling involving the right middle finger. However underlying bones appear normal.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: Digital radiography; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 3
    MRI

    MRI T1W axial image of the right hand revealed a hypointense well-encapsulated lesion on the volar aspect, centred around the flexor tendons (flexor digitorum profundus and flexor digitorum superficialis) of the...

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 4
    MRI

    MRI T1W axial image of the right hand revealed a hypointense well-encapsulated lesion on the volar aspect, centred around the flexor tendons at the level of the third metacarpal.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 5
    MRI

    MRI T2W axial image of the right hand revealed a hyperintense well-encapsulated lesion on the volar aspect, centred around the flexor tendons with multiple hypointense rice bodies within.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 6
    MRI

    MRI T2W axial image of the right hand revealed a hyperintense well-encapsulated lesion centred around the flexor tendons at the level of the third metacarpal with multiple hypointense rice bodies within.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 7
    MRI

    MRI PD sagittal image of the right hand revealed two hyperintense lesions with hypointense rice bodies within centred around the flexor tendons at the level of proximal phalanx and at the level of third metacarpal.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 8
    MRI

    MRI T2W coronal image of the right hand revealed a hyperintense, well encapsulated lesion centred around the flexor tendons at the level of the third metacarpal. Multiple hypointense rice bodies are seen within.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
Radiograph (AP VIEW) of right hand reveals soft tissue swelling involving the right middle finger.
 
Radiograph (LAT VIEW) of right middle finger reveals soft tissue swelling involving the right middle finger. However underlying bones appear normal.
 
MRI T1W axial image of the right hand revealed a hypointense well-encapsulated lesion on the volar aspect, centred around the flexor tendons (flexor digitorum profundus and flexor digitorum superficialis) of the middle finger.
 
MRI T1W axial image of the right hand revealed a hypointense well-encapsulated lesion on the volar aspect, centred around the flexor tendons at the level of the third metacarpal.
 
MRI T2W axial image of the right hand revealed a hyperintense well-encapsulated lesion on the volar aspect, centred around the flexor tendons with multiple hypointense rice bodies within.
 
MRI T2W axial image of the right hand revealed a hyperintense well-encapsulated lesion centred around the flexor tendons at the level of the third metacarpal with multiple hypointense rice bodies within.
 
MRI PD sagittal image of the right hand revealed two hyperintense lesions with hypointense rice bodies within centred around the flexor tendons at the level of proximal phalanx and at the level of third metacarpal.
 
MRI T2W coronal image of the right hand revealed a hyperintense, well encapsulated lesion centred around the flexor tendons at the level of the third metacarpal. Multiple hypointense rice bodies are seen within.
 
 
 
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