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Imaging:

  • X-rays

    • can see erosions, bridging, joint space narrowing, sclerosis
    • up to 25 % of asymptomatic adults over 50 years can have abnormalities
  • MRI

    • can diagnose early inflammatory changes or tumors
  • CT

  • Bone scan

    • good for fractures but less favorable for inflammation
    • can demonstrate bilateral disease with unilateral symptoms

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