How do you approach an asymptomatic patient with evidence of intense radiotracer activity at the left sternoclavicular joint on bone scan with a history of SAPHO syndrome on Humira?

Any other area light up? Bone scans are sometimes challenging to read as they can light up with degenerative changes or prior damage and do not always represent active disease. Can consider an MRI of the joint to better determine whether there's disease activity or only prior damage. If it's really ...