Pigmented villonodular synovitis with blooming artifact

Case contributed by Dr Domenico Nicoletti

Presentation

Posterior swelling of the ankle.

Patient Data

Age: 60 years
Gender: Female

In the posterior articular recess of the ankle, in continuity with the astragal-calcaneal joint, there's a nodule synovial hyperplasia that encroaching the Kager fat pad. Sagittal GE T2-weighted MR image shows within the mass small foci of low signal intensity that representing hemosiderin deposition (blooming artifact). No bone erosion is detectable.

Case Discussion

Pigmented villonodular synovitis is an uncommon disease characterized by hyperplastic synovium, large effusions and bone erosions. The most common differential diagnostic are hemophilic arthropathy, synovial chondromatosis, synovial hemangioma, and synovial sarcoma. Magnetic resonance imaging is effective in distinguishing this pathology because it can reveal the deposition of hemosiderin in PVNS.

Case courtesy: Dott. Francesco Filieri

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Case information

rID: 74271
Published: 13th Feb 2020
Last edited: 13th Feb 2020
Inclusion in quiz mode: Included

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