Imaging Quizzes

 

In this page are available quizzes from images published at EULAR's imaging library: https://www.eular.org/eular_imaging_library_portal.cfm

 

Case 1 - Ref: 157860

Female patient presents with pain and swelling in the right shoulder. Right shoulder anterior-posterior plain radiography is performed, showing a juxta-articular radiodense mass composed of multiple nodule-shaped lesions (arrow and line).

Author: Esperanza Naredo; Department of Rheumatology. Hospital GU Gregorio Marañón, Madrid, Spain

Which of the following is the most likely diagnosis

  1. Synovial osteochromatosis (metaplasia of synnovial connective tissue)

  2. Chondrocalcinosis

  3. Calcific bursitis

  4. Calcinosis universallis

  5. Cystercicosis

Answer here

 

Case 2  - 208373

Patient presents with lumbar flexion limitation and inflammatory back pain. Lateral plain radiography of the lumbar spine is performed showing multiple continuous hyperdensities along the anterior border of lumbar spine (arrows).

Author: Juan Carlos Nieto-González; Department of Rheumatology. Hospital GU Gregorio Marañón, Madrid, Spain

These aspects are more likely 

  1. Disc calcification

  2. Normal, age related findings 

  3. Paget disease of the spin

  4. Multiple lumbar syndesmophytes  

  5. Diffuse osteophytes in Ankylosing spondylitis

 

 

Case 3 – Ref: 157865

Female patient with rheumatoid arthritis who presented with fever and lumbar pain.
T2-weighted (left) and fat-suppressed T-2 weighted (right) sagittal MRI is performed, showing an hyperintense L4-L5 intervertebral disc (arrows) and increased signal intensity within the adjacent vertebral bodies at L4-L5 level.

Author: Esperanza Naredo; Department of Rheumatology. Hospital GU Gregorio Marañón, Madrid, Spain

What is the most likely finding?

  1. Pott disease

  2. Septic discitis 

  3. Osteoblastic metastases

  4. Fatty degeneration of the lumbar spine

  5. Ankylosing spondylitis related spinal inflammation

 

 

Case 4  - 212395

Clinical presentation: Elderly man with pain in the first _____ joint. No inflammatory disease. 

Pathological findings: _____ (arrow 1a) with active ______ (arrow 1b) with Doppler signal.

Can you fill the blank text based on the radiographic image? 

Author: Hilde Berner Hammer; Department of Rheumatology, Diakonhjemmet hospital

 

 

Case 5  - 188537

This Fluorescence optical image (FOI) displays active synovitis, tenosynovitis and 'silent' psoriais.

Can you spot the 3 of them based on the 3 different arrow colours?

Author: Yogan Kisten, Erik af Klint, Anna Karlsson, Hamed Rezaei and Ronald van Vollenhoven; Unit for Clinical Therapy Research, Inflammatory Diseases (ClinTRID), Karolinska Institutet, The Rheumatology Clinic of Karolinska University Hospital, Stockholm, Sweden

 

 

Case 6  - 206971

Can you identify the structure and disease by the clinical case represented in the image? Note that size is in micrometers... it's a micro abnormality!

Author: Vanessa Smith; Department of Internal Medicine, Faculty of Medicine and Health Sciences, University of Ghent; Department of Rheumatology, Ghent University Hospital