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Arthritis  (Expert Forum)
 | 
Inflammatory arthritis and MRI results
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com

Inflammatory arthritis and MRI results

by MJOZ, Sep 08, 2006 12:00AM
I recently had an MRI of my hip due to severe pain.  Radiologist report stated syndovial thickening, enhancement and effusion, suggesting synovitis as seen in inflammatory arthritis.  Significant hyperintense enhancement with contrast. Also tendinopathy of gluteus medius and minimis   I have had in the past and currently difficulty with other joint pain, TMJ, carpal tunnel, bunions/feet stiffness, mild OA of C4,5,6. Have an appt with an orthopedist soon.  Pain is not improving.

Does the MRI reading mean I have inflammatory arthritis? Is there synovial thickening with OA?  How definitive is the MRI result?

by Kevin Pho, MD, Sep 09, 2006 12:00AM
Inflammatory arthritis can certainly be considered with the MRI report.  Also amongst the possibilites would be osteoarthritis - which can cause synovial thickening as well.  

Further blood tests can help with the diagnosis.  This can include a sedimentation rate, ANA level and rheumatoid factor.

A referral to a rheumatologist can be considered to further evaluate the symptoms.  

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
kevinmd_
Member Comments

by DeShay, Oct 04, 2006 12:00AM
Hello everyone!  I had an MRI done and my doctor told me that everything looked fine and there was nothing to be fixed.  However then he prescribed me some anti-inflammatory medicine and told me to schedule an appointment for Rehabilitation if running is important to me.  So when i was discharging I read my MRI results and I didn't understand it and I was wondering if someone could help me undersand it.  Here is what it says verbatim:  The collateral and cruciate ligaments appear intact. Some intrameniscal signal is seen but there is no evidence of menisci.  Articular cartilage is unremarkable aside for early chrondromalacia of the patella.  The visualized osseous framework is intact and no joint effusion, Baker's cyst or soft mass noted.  Those were the findings then the impression stated No intermal derangement,
So now what in the world does all that mean? Cansomeone help me please!!
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