MRIWebClinic—June
MRImagingofRheumatoidArthritisAdityaBahel,D.O.,YatinChadha,M.D.,DonaldResnick,M.D.ClinicalHistory:A47year-oldwomanpresentswithpolyarthralgiasandmorningstiffness.ImagesprovidedincludeacoronalT1-weighted(1a),coronalfat-suppressedT1-weightedpostcontrast(1b),axialfat-suppressedT1-weightedpostcontrastatthelevelofthecarpaltunnel(1c),andanaxialfat-suppressedT2-weightedimageataleveljustproximaltotheradiocarpaljoint(1d).Whatarethefindings?Whatisyourdiagnosis?
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Figure1Findings2a
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Figure2:ThecoronalT1-weightedimage(2a)andpost-contrastcoronalT1-weightedimagewithfatsuppression(2b)demonstratealargeerosioninthedistalulna(arrows).Thecoronalpost-contrastimage(2b)demonstratesextensivesynovitisaboutthecarpalbones,especiallyintheradiocarpalandmidcarpal