An Uncommon Cause Of Knee Effusion In A Middle-aged Female

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An Uncommon Cause Of Knee Effusion In A Middle-aged Female - Page #3

Lab Studies: Labs from current visit: - Joint fluid: Cloudy yellow, WBC 7834 with 70% neutrophils, RBC <3000, no crystals, gram stain and culture negative. - CBCPD: Elevated WBC (12.4), normal hemoglobin and platelets - ESR: Elevated at 22 (0-20 nl); CRP: Elevated at 1.3 (0-0.6 nl) Other Studies: Xrays of right knee (from initial visit): Moderate to large joint effusion. Mild tricompartmental osteoarthritis. MRI of right knee: Full thickness cartilaginous defect along the mid-portion of the medial femoral condyle, as well as near full-thickness defect of the medial patellar facet cartilage. Synovial hypertrophy with signal intensity matching fat consistent with lipoma arborescens. Case Photo #1 Case Photo #2 Case Photo #3 Consultations: - Rheumatology - Orthopedic Surgery Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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