Rheumatoid arthritis

Case contributed by Dalia Ibrahim
Diagnosis almost certain


Wrist pain

Patient Data

Age: 40-year-old
Gender: Male

X-ray is unremarkable. 


Diffuse synovial thickening/hypertrophy (synovial pannus) throughout the wrist joint associated with joint effusion. 

Extension of the synovitis into some of the extensor tendon sheaths. 

Patchy marrow edema signal and bony erosive & subcortical pseudocystic changes of the carpal bones, bases of metacarpal bones and to less extent the distal radius.


Case Discussion

Known case of Rheumatoid arthritis, complains of recent wrist pain.

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