PVNS or pseudo aneurysm: MRI-problem solving or misleading?

Pigmented villonodular synovitis (PVNS) is a benign neoplastic process affecting the synovium.Magnetic resonance imaging (MRI) is considered as the imaging modality of choice, where PVNS is seen as a soft tissue lesion affecting the synovium with characteristic hypointense signal on T2-weighted imag...

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Bibliographic Details
Main Authors: Bhagya Sannananja, Hardik Uresh Shah, Varun Laxman, Chinmay Nagesh
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2015-01-01
Series:Indian Journal of Radiology and Imaging
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/0971-3026.150152
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Summary:Pigmented villonodular synovitis (PVNS) is a benign neoplastic process affecting the synovium.Magnetic resonance imaging (MRI) is considered as the imaging modality of choice, where PVNS is seen as a soft tissue lesion affecting the synovium with characteristic hypointense signal on T2-weighted images (T2WI) and typically blooming on gradient echo (GRE) sequences. MRI can sometimes be misleading, with many non-neoplastic pathologies having a tendency of recurrent bleeding closely mimicking PVNS. We report a case  of pseudoaneurysm from posterior circumflex humeral artery, a branch of axillary artery, secondary to recurrent shoulder dislocation mimicking PVNS on MRI.
ISSN:0971-3026
1998-3808