Ankylosing spondylitis (bilateral sacroiliitis and romanus lesion)

Discussion:

The patient is a male who presents with history of chronic low back pain with an onset of symptoms before the age of 40 years and MRI findings that depict bilateral sacroilitis with associated active inflammatory lesions at the vertebral edges in the thoracolumbar region consistent with ankylosing spondylitis.

Case courtesy of Dr Guillermo Bolivar

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