Jaw pain, juvenile arthritis Left TMJ: There is a normal rounded appearance of the mandibular condyle without evidence of discrete bony erosion. There is synovial thickening, increased fluid signal, and enhancement surrounding the left temporomandibular joint. The articular disc is normally positioned between the mandibular condyle and the temporal bone in both open and closed positions. There is normal anterior translation of the mandibular condyle with jaw opening.Right TMJ: There is a normal rounded appearance of the mandibular condyle without evidence of discrete bony erosion. There is mild synovial thickening without significant inflammatory change. The articular disc is normally positioned between the mandibular condyle and the temporal bone in both open and closed positions. There is normal anterior translation of the mandibular condyle with jaw opening.
1. Mild synovitis of the left TMJ. There is no significant enhancement or inflammatory changes of the right TMJ to suggest acute synovitis although the synovium appears slightly thickened.2. Normal articular disc positioning and motion of both the left and right TMJ.