Rheumatoid nodule of the foot: MRI appearances mimicking an indeterminate soft tissue mass.
Subcutaneous rheumatoid nodules occur commonly in advanced cases of rheumatoid arthritis, but only rarely appear in the feet. We present a case of a subcutaneous rheumatoid nodule arising in the heel pad of a 68-year-old man with a long history of rheumatoid arthritis, along with a review of the literature. The appearance of the mass on MRI is illustrated and correlated with the histologic findings. The MRI appearance of a subcutaneous rheumatoid nodule is that of a nonspecific ill-defined mass with long T1- and long T2-relaxation times. A differential diagnosis for similar appearing masses is offered.
Sanders
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Department of Radiology, David Grant United States Air Force Medical Center, Travis AFB, CA 94535, USA.
Linares
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D000368:Aged; D003937:Diagnosis, Differential; D005534:Foot Diseases / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D012218:Rheumatoid Nodule / Q000175:diagnosis*