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Images in medicine
Rice bodies in ischiogluteal bursitis
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  1. S Yoshida,
  2. M Shidoh*,
  3. K Imai*,
  4. A Imai**,
  5. Y Konishi**,
  6. S Kon
  1. Department of Radiology, Plastic Surgery,
  2. **and Pathology,
  3. **Muroran City General Hospital, Yamate-chou 3-8-1, Muroran 051-8512, Japan;mumuh003{at}swan-bay.ne.jp

    http://dx.doi.org/10.1136/pmj.79.930.220

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      A 58 year old woman with rheumatoid arthritis suffered from pain and swelling in the right buttock. The pain was greatly aggravated by sitting. Computed tomography and magnetic resonance imaging (MRI) revealed a cystic mass lesion with thick wall, adjacent to the right ischial tuberosity and gluteus maximus muscle. On T2-weighted MRI, the mass contained multiple hypointense small nodules, indicating rice bodies (fig 1). Total resection was performed and histopathological findings were compat

      ible with chronic bursitis; rice bodies consisted of dense fibrinous material.

      Figure 1
      Figure 1

      T2-weighted MRI scan.