Round # 7

• Clinical History
• Radiographs
• Description of Radiographic Findings

Clinical History

The patient is a 50 year old woman who was dignosed with systemic lupus erythematosus (SLE) at the age of 16 when she presented with an inflammatory polyarthritis, skin rash, a positive ANA, malaise, and multiple hard subcutaneous nodules. Her clinical course has been complicated over the years by recurrent infections, including cellulitis, osteomyelitis, and endocarditis, and the development of diffuse lymphadenopathy. She has been treated with corticosteroids with good effect. Recent routine radiographs were obtained at a recent office visit.

Radiographic Films

Film 1

Film 2

Film 3

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