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Rheumatology film

By Ajarn Ajanee^^

CPPD and OA
Soft tissue calcification and uncommon site of OA

CTG
Soft tissue mass
With some calcification and punch out osteolytic lesion

RA
Symmetrically involve wrist, MCP

Dermatomyositis
No erosion

Soft tissue calcification

OA and gout
DIP and PIP involvement
Well defined lytic lesion

Jaccouds arthropathy
Deformed but no erosion

Hyperparathyroidism
Subperiosteal bone resorption
and soft tissue calcification

Psoriatic arthritis
Dactylitis with periosteal reaction

MM
Well defined osteolytic lesion

Thalassemia

Hair on end periosteal recation

Generalized osteopenia

AS

Protusio acetabuli

SI involvement

AVN

Severe deformed femoral head Normal SI

Ricket
Pseudofracture
Deformed femur Osteopenia

pseudofracture

Septic hip

Clues: diffuse osteopenia around hip (right) Soft tissue swelling

Charcots joint
Severe joint destruction with area of sclerotic bone formation fragmentation and disorganization of joint

Hemophiliac joint
Widening intercondylar notch and uniformed joint loss

SpA

Puffy periostitis
Whiskering of bone

Lead poisoning

Dense metaphyseal band

Spinal OA

Marginal osteophyte
Narrowing disc space

TB spine

Increased paravertebral soft tissue Blurring and destruction of vertebral end plate

Shiny corner sign

Increase radiodensity at the corner of vertebral body= osteitis

Osteoporosis
Osteopenia
No narrowing disc space Cod fish collapse spine

Dagger sign
Calcified supra and infraspinous ligament