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Fig. 1F. 48-year-old woman with rheumatoid arthritis since childhood
and intraosseous lesion of distal radius. Radiographs failed to show
intraosseous lesion of distal radius even 25 months after MRI. Sagittal
spin-echo T1-weighted (TR/TE, 400/10) (D), sagittal spin-echo
fat-saturated gadolinium-enhanced T1-weighted (400/9.3, obtained 9 min after
injection) (E), and sagittal spin-echo T2-weighted with fat saturation
(2,500/80) (F) images show 1.0 x 0.5 x 0.4 cm lesion in
distal radius with low signal intensity on T1-weighted images (D).
Lesion enhances with contrast administration on T1-weighted fat-saturated
image (E) and has bright signal on T2-weighted image (F). There
is no cortical break, and lesion is remote from nearest joint. Note bone
marrow edema of lunate bone.