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Published on: December 16, 2021
PVNS or pseudo aneurysm: MRI-problem solving or misleading?
Bhagya Sannananja1, Hardik Uresh Shah1, Varun Laxman2
1Department of Radiology, Shri Harilal Bhagwati Municipal Corporation Hospital, Mumbai, India.
Abstract:
Pigmented villonodular synovitis (PVNS) is a benign neoplastic process affecting the synovium. Magnetic resonance imaging (MRI) is considered as the imaging modality of choice, where PVNS is seen as a soft tissue lesion affecting the synovium with characteristic hypointense signal on T2-weighted images (T2WI) and typically blooming on gradient echo (GRE) sequences. MRI can sometimes be misleading, with many non-neoplastic pathologies having a tendency of recurrent bleeding closely mimicking PVNS. We report a case of pseudoaneurysm from posterior circumflex humeral artery, a branch of axillary artery, secondary to recurrent shoulder dislocation mimicking PVNS on MRI.
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