Presentation
Intense shoulder pain with a history of longstanding of seropositive rheumatoid arthritis.
Patient Data
Shows multiple intra-articular hypointense foci in keeping with rice bodies and articular effusion. There’s also concentric narrowing of the joint space, osteoporosis and small marginal bone erosion with marrow edema of the humeral head. The rotator cuff tendons and long head of the biceps are normal.
Case Discussion
Rice bodies are loose bodies associated with chronic inflammatory pathologies, typically found in the joint synovium, bursae, and tendons sheaths.
Case courtesy Dr.ssa Sandra Pennacchini
Radiographer: TSRM Fabio Imola