This is a synovial pathology, with discreetly calcified intra-articular bodies and extrinsic bony scalloping due to chronic pressure erosion; there is no infiltration or destruction of the bone, Primary Synovial Osteochondromatosis is the most likely diagnosis; Pigmented Villonodular Synovitis is in the differential especially as on the MRI the bodies seem to be tightly packed and almost mass like, PVNS may sometimes show minor calcification on x-rays, but rarely dense calcification like this case does, sarcoma is highly unlikely due to the chronic pressure erosions
(via fyeahmedlab)









