Fig. 3
From: Vitamin C deficiency mimicking inflammatory bone disease of the hand
Right hand MRI a. Coronal proton density fat saturation sequences of the right hand shows increased water signal involving multiple phalanges, but most prominently the first proximal phalanx and fourth middle phalanx. Abnormal marrow signal is associated with periosteal lifting and soft tissue edema. b. Coronal T1 post-contrast with fat saturation shows contrast enhancement of the marrow space and soft tissue. Note the absence of joint effusions and synovial enhancement