Pigmented villonodular synovitis (PVNS)

Case contributed by Frank Gaillard
Diagnosis almost certain

Hyperdense expansion of the joint capsule with bony erosions. 

Nodular hypertrophy of the knee synovium with low signal on both T1 and T2 weighted sequences, consistent with pigmented villonodular synovitis. Note the erosions of the adjacent bones. 

Case Discussion

Case courtesy of Bob Cook, MD. Western Memorial Regional Hospital Corner Brook, Newfoundland.

Editor's note: Per the 2020 WHO Soft Tissue and Bone Tumors Classification (5th ed.), the recommended terminology is tenosynovial giant cell tumor with pigmented villonodular synovitis no longer recommended (although remains in common use).

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.