Fig. 3
From: Imaging in rheumatology: reconciling radiology and rheumatology
A 53-year-old man with bilateral inflammation of both hands. Coronal T2 fat saturated (fat sat) MRI (a) shows increased fluid signal consistent with synovitis and oedema in the wrist, intercarpal and metacarpophalangeal joints (MCPJs) and also signal change around the tendons suggesting tenosynovitis. This was confirmed with contrast-medium-enhanced MRI of the hands. Here shown are axial T1 fat sat images at the level of the MCPJs (b) and the wrist joints (c). Note the erosions in the head of the right second metacarpal (b, arrow)