Sacroiliitis - unilateral

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Pelvic and lumbar pain on the left side.

Patient Data

Age: 40 years
Gender: Male
mri

Abnormal subchondral bone marrow signal involving right-sided sacroiliac joint and displays the low signal on T1 and high signal on STIR and T2 fat suppression sequences depicting an inflammatory process.

The joint space of both ligamentous and synovial parts of the joints is preserved.

 The shape and signal intensities of the muscle attachments also are normal.

Case Discussion

MRI findings are consistent with right-sided sacroiliitis.

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