PMC5941974_01
Ultrasonography of the right radiocarpal joint, longitudinal scanning. (a, b)
Baseline: moderate synovial hypertrophy with severe activity (power Doppler
III). (c) Three months follow up: mild synovial hypertrophy with mild
activity (power Doppler I).
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Ultrasound of hands and wrists bilaterally demonstrated moderate proliferative, erosive and active synovitis [power Doppler (PD) III] of radiocarpal joints, moderate active (PD II) proliferative tenosynovitis of the flexor tendons of the fingers, mild proliferative synovitis of the II MCP joint (Figure 1(a,b)). Ultrasonography of hands and wrists documented a mild synovitis (PD grade I) of radiocarpic joints bilaterally (Figure 1(c)).
Chest high resolution computed tomography representative lung layers. (a)
Baseline: inflammatory interstitial thickening with ground glass pattern
(red arrows). (b) One-year follow up: reduction in size and density of the
ground glass pattern.
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High-resolution computed tomography (HRCT) showed one micronodule (5 mm) with smooth margins in subpleural parenchymal right upper lobe and notes of bilateral interstitial fibrotic striae type 'ground glass' more evident on the left (Figure 2(a)). HRCT was repeated and it documented the reduction in size and density of ground glass area (Figure 2).