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Bilateral generalised synovial chondromatosis of the knee: Bone scintigraphic demonstration with radiologic correlation

Tarik Elri, Mehmet Cabuk, Yavuz Sami Salihoglu, Rabiye Uslu Erdemir, Ismail Serifoglu
Indian Journal of Nuclear Medicine: IJNM: the Official Journal of the Society of Nuclear Medicine, India 2016, 31 (3): 242-3
A 67-year-old woman with a history of bilateral progressive knee pain and swelling was referred for (99m)Tc-methyl diphosphonate bone scintigraphy. Flow and blood pool images showed bilateral heterogeneous increased uptake and delayed phase revealed mass-looking lobulated heterogeneous increased activity in both of knees extending distal part of the femoral shaft, but no other pathologic uptake was found in rest of the body. A diagnosis of synovial chondromatosis was made when correlated with X-ray and computed tomography.(CT) images. This is a rare presentation of generalized synovial chondromatosis involving both knees which demonstrated on bone scintigraphy with X-ray and CT correlation.

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