52-year-old male patient with refractory hand pain. Evaluate for subclinical synovitis. There is mild synovitis adjacent to the second metacarpal head. A small collection of fluid signal intensity along the volar surface of the second metacarpal head may represent a small synovial cyst or ganglion. Mild osteoarthritis affects the first metacarpophalangeal joint with minimal synovitis and a small cyst or erosion in the first metacarpal head. The remaining metacarpophalangeal joints and interphalangeal joints appear normal.Enhancement along the volar aspect of the carpus likely represents synovitis, but is incompletely visualized on this hand study. Small enhancing foci in the capitate may represent cysts or erosions. The visualized tendons and remaining soft tissues appear normal.
Mild synovitis of the first and second metacarpophalangeal joints and wrist with other findings as described above.