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    Tutorial

    Rheumatology film

    By Ajarn Ajanee^^

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    CPPD and OASoft tissuecalcificationanduncommonsite of OA

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    CTG

    Soft tissue mass

    With somecalcification andpunch outosteolytic lesion

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    RA

    Symmetricallyinvolve wrist,MCP

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    Dermatomyositis

    No erosion

    Soft tissue

    calcification

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    OA and gout

    DIP and PIPinvolvement

    Well defined lytic lesion

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    Jaccouds arthropathy

    Deformed

    but noerosion

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    Hyperparathyroidism

    Subperiostealboneresorptionand soft tissuecalcification

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    Psoriatic arthritis

    Dactylitiswithperiostealreaction

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    MM

    Well definedosteolytic

    lesion

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    Thalassemia

    Hair on endperiostealrecation

    Generalizedosteopenia

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    AS

    Protusioacetabuli

    SIinvolvement

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    AVN

    Severedeformedfemoral head

    Normal SI

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    Ricket

    Pseudofracture

    Deformed femur

    Osteopenia

    pseudofracture

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    Septic hip

    Clues: diffuseosteopeniaaround hip (right)

    Soft tissue

    swelling

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    Charcots joint

    Severe jointdestruction witharea of sclerotic bone formationfragmentationand

    disorganizationof joint

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    SpA

    Puffy periostitisWhiskering ofbone

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    Lead poisoning

    Dense

    metaphysealband

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    Spinal OA

    Marginalosteophyte

    Narrowing disc

    space

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    TB spine

    Increasedparavertebral softtissue

    Blurring anddestruction ofvertebral end plate

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    Shiny corner sign

    Increaseradiodensity atthe corner ofvertebral body=osteitis

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    Osteoporosis

    Osteopenia

    No narrowingdisc space

    Cod fishcollapsespine

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    Dagger sign

    Calcified supraand infraspinousligament