Female, 80 years old. Reason: evaluate for RA, OA History: flexion contractures at PIP's Right hand: The bones appear demineralized. Moderate osteoarthritis affects multiple interphalangeal joints. Severe osteoarthritis affects the first carpometacarpal joint. We see no specific radiographic features of rheumatoid arthritis.Left hand: The bones appear demineralized. Moderate osteoarthritis affects multiple interphalangeal joints. Moderate osteoarthritis also affects the first carpometacarpal joint. We see no specific radiographic features of rheumatoid arthritis.Right knee: Severe osteoarthritis affects the right knee, particularly the lateral and patellofemoral compartments. A cluster of calcifications in the distal femoral metaphysis likely represents a benign enchondroma. The patella appears low lying, which may simply represent artifact related to patient positioning. However, if there is clinical concern for quadriceps tendon injury, MRI can be considered for further evaluation.Left knee: Severe osteoarthritis affects the left knee, particularly the lateral and patellofemoral compartments.
Osteoarthritis of both hands and both knees; other findings as above.