PMC6750310_01
Developing erosion filled with a hypertrophic synovial membrane with increased vascularization and effusion on ultrasound
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fig1
On ultrasound, peripheral arthritis, including in the left ankle (Fig. 1), left knee, the first metatarsophalangeal joint of the left foot and the right sternoclavicular joint was confirmed.
Bone marrow edema in the right navicular bone on wholebody MRI, the high signal intensity on the left is consistent with visualized vessels
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fig2
Areas of bone loss, irregular contours surrounded by a sclerotic margin in the lower central part of the sternal end of the right clavicle
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fig3
On chest X-ray, the following abnormalities were found: pleuro-diaphragmatic adhesions in the left dome of the diaphragm, significant right thoracic scoliosis, irregular contours and subchondral sclerosis of the edge of the sternal end of the right clavicle (Fig. 3).
Bone marrow edema in both sacroiliac joints on whole-body MRI
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fig4
Large erosion filled with vascularized synovial membrane on the medial surface of the head of the first metatarsal bone
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fig5
On ultrasound of the right foot the following abnormalities were noted: a thickened, intensively vascularized synovial membrane in the first metatarsophalangeal joint, a large erosion filled with vascularized synovial membrane on the medial surface of the first metatarsal bone head (Fig. 5), a small effusion under the fifth metatarsal bone head and a thickened synovial membrane of the bursa (submetatarsal bursitis).
Multilevel vertebral body fractures in the cervical spine
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Diagnostic imaging revealed further progression of the lesions, including multilevel vertebral body fractures and syndesmophytes in the lumbar spine on X-ray (Fig. 6).