Case of victims of modern imaging technology: Increased information noise concealing the diagnosis

Figure 4 Plain and contrast enhanced magnetic resonance imaging images of proximal hand. A: Coronal T1W. Hypointense soft-tissue is noted surrounding the first MCP joint with hypointense marrow changes; B: Coronal STIR. Irregular hyperintensities are seen surrounding the first MCP joint along with hyperintensity within the peri-articular bone marrow; C: Sagittal T2W. Mild joint effusion is seen with hypertrophied T2 hypointense synovium and pannus formation; D-F: Axial and sagittal post-contrast Fat Sat T1W. Arrows indicate peripherally enhancing abscesses adjacent to the first MCP joint. Also noted in the vicinity is enhancing proliferative pannus. MCP: Metacarpophalangeal.