3-year-old female with retrognathia and oligoarticular JIA with knee and ankle swelling Right temporomandibular joint: Limited study with the patient under sedation limiting ability to obtain dedicated open and closed mouth views. The meniscus of the right TMJ is appropriately situated between the mandibular condyle and the articular eminence on the closed mouth view. The meniscus remains appropriately situated between the condyle and articular eminence on the limited open mouth view. Minimal enhancement of the synovium of the TMJ may reflect a very mild synovitis although this is equivocal. No erosions or abnormal marrow signal is evident. Partial opacification of right mastoid air cells with enhancement indicating inflammation.Left temporomandibular joint: Limited study with the patient under sedation limiting ability to obtain dedicated open and closed mouth views. The meniscus of the right TMJ is appropriately situated between the mandibular condyle and the articular eminence on the closed mouth view. The meniscus remains appropriately situated between the condyle and articular eminence on the limited open mouth view. Minimal enhancement of the synovium of the TMJ may reflect a very mild synovitis although this is equivocal. No erosions or abnormal marrow signal is evident.
1.Limited examination as described above.2.Minimal enhancement of the TMJs bilaterally may reflect a very mild synovitis, but this is equivocal. No erosions or bone marrow enhancement.3.Opacification/inflammation of the right mastoid air cells.