additional history.
Sent a text to referring looking for additional clinical information. He
was on vacation and he had his assisstant call me. He said does it make a
difference if this patient has “very poorly controlled rheumatoid
arthritis?’
Uh yes, it makes a difference.
Most can be explained by poorly controlled RA. Can’t explain the
incompletely visualized femoral medullary lesion. Intraosseous Rheumatoid
nodule? I thought it looked chondroid at first and when I saw the T1s I
thought poor guy, cancer. I looked up intraosseous RA nodules. Literature
says they should be cystic.
Makes more sense that the whole thing is RA rather than any form of
malignancy superimposed.
What do you think?
Here are a bunch of images.
[image: Screenshot 2022-01-19 152551.jpg][image: Screenshot 2022-01-19
152647.jpg][image: Screenshot 2022-01-19 152656.jpg]
[image: de id 2.jpg][image: de id 3.jpg][image: deid 1.jpg]
[image: Screenshot 2022-01-19 152720.jpg][image: Screenshot 2022-01-19
152731.jpg][image: Screenshot 2022-01-19 152742.jpg]
[image: Screenshot 2022-01-19 152708.jpg]
[image: Screenshot 2022-01-19 152806.jpg][image: Screenshot 2022-01-19
152817.jpg][image: Screenshot 2022-01-19 152831.jpg]
[image: Screenshot 2022-01-19 152633.jpg]
