4 year history of severe bilateral upper limb joint pain
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Large joint effusion containing "rice" bodies indicative of synovitis. Subtle bone erosion involving the bicipital groove, greater tuberosity and humeral head with bone marrow oedema Thinning of articular cartilage.
Left shoulder shows similar features to the right.
Sterno-clavicular joints also inflamed especially on the left.
Typical features of a generalized inflammatory arthritis such as rheumatoid with joint effusion containing rice bodies as well as subtle bone erosion.