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History: A 60-year-old woman reports a several-week history of severe neck and shoulder pain and morning stiffness. X-rays of the axial and peripheral skeleton are negative.

1. What should be included in the differential diagnosis? (Choose all that apply.)

b. Rheumatoid arthritis

c. Polymyalgia rheumatica (PMR)

d. Fibromyalgia

e. Polymyositis

2. Which imaging modality is least useful in the diagnosis of PMR?

d. Positron emission tomography (18F-FDG PET) and 18F-FDG PET/CT

3. Which of the following statements regarding patients with PMR and cervical interspinous bursitis is false?

a. Areas of increased T2 signal and enhancement on MRI are usually found from C1 to C4.

b. MRI findings of PMR in the lumbar spine are often located in the interspinous bursae of L3, L4, and L5.

c. MRI findings of cervical and lumbar PMR interspinous bursitis are due to edema in areas of inflammation.

d. Moderate to severe cervical or lumbar interspinous bursitis in the absence of other articular changes might support the diagnosis of PMR.

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Tags: Spine Imaging Case Review Series

Feb 14, 2016 | Posted by admin in MUSCULOSKELETAL IMAGING | Comments Off

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