case_images: PMC6854222_01
case_images: Ventral and dorsal aspects of the wrist showing left wrist and hand swelling.
case_images: CRIS2019-4916157.001.jpg
case_images: PMC6854222_01_CRIS2019-4916157.001.jpg
case_images: fig1
case_images: On examination, there was a swelling near the wrist joint and carpal region both volar and dorsal aspects (Figure 1).
case_images: X-ray of the left hand showing destructive type lytic lesions involving mainly the carpal bones and bases of the 2nd to 5th metacarpals.
case_images: CRIS2019-4916157.002.jpg
case_images: PMC6854222_01_CRIS2019-4916157.002.jpg
case_images: fig2
case_images: Initial digital X-ray of the hand showed destructive type lytic lesions involving mainly the carpal bones and bases of the 2nd to 5th metacarpals with sparing of the radiocarpal and distal radioulnar joints (Figure 2).
case_images: MRI image of the left hand showing destructive lesions in the carpal bones, surrounding focal fluid collections with narrowing of the intercarpal and carpometacarpal joints.
case_images: CRIS2019-4916157.003.jpg
case_images: PMC6854222_01_CRIS2019-4916157.003.jpg
case_images: fig3
case_images: He underwent a magnetic resonance (MR) scan of the hand which showed multiple destructive lesions in the carpal bones, surrounding focal fluid collections with narrowing of the intercarpal and carpometacarpal joints (Figure 3).