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30 year old female, joint pain / swelling
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Pigmented Villonodular Synovitis

  • Radiographs showed a large joint effusion with subchondral cysts / erosions. There is little or no degnerative change, and no abnormal calcification
  • MRI confirmed the large joint effusion, containing low-signal masses (characteristic due to the presence of iron)
  • PVNS Caused by benign proliferation of synovial tissue; there may be a remote history of trauma, but the exact cause is unknown
  • DDx: degenerative arthritis, xanthoma, xanthogranuloma; amyloid
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