Pigmented villonodular synovitis - knee

Case contributed by Fateme Hosseinabadi
Diagnosis almost certain

Presentation

Knee pain

Patient Data

Age: 60 years
Gender: Female

MRI demonstrating mass-like synovial proliferation with lobulated margins that show T1WI and T2WI and PD fat sat low signal intensity and blooming effect due to hemosiderin deposition.

Case Discussion

Pigmented villonodular synovitis (PVNS) that involves all of the contiguous synovium is the most common form of an intra-articular disease, non-ossified synovial chondromatosis is main differential diagnosis. PVNS is most common monoarticular (70% in knee joint) but it can be oligoarticular.

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