Haemophilic arthropathy - ankle MRI

Discussion:

Anterior and posterior ankle soft-tissue density corresponding to the synovial proliferation on MRI. Plain film shows minimal osseous changes despite the marked synovial proliferation seen on MRI.

This patient had known hemophilia and the features are consistent with haemophilic arthropathy with hemosiderin stained proliferative synovitis due to repated episodes of hemarthrosis.

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