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Thickened synovial fold at the postero-lateral aspect of elbow joint namely radio-capitellar articulation measures about 10 length and 6mm in thickness. Associated bone marrow oedema of the radial head and neck with focal osteochondral erosion of the anterolateral aspect of radial head (chondromalacia). Bone marrow oedema of the capitellum with articular surface irregularity. Moderate elbow joint effusion.