Date : 00.00.00
Name of the Patient : Abc Xyz R. Haldalmn / M / 20 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Sacro-iliac Joints.
CLINICAL PROFILE :
C/O backache and pain in both hip region since May 0000.
M.R.I of the sacro-iliac joints was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
3 mm thick T1 Weighted and STIR coronal images.
The lumbar spine was screened with 5 mm thick T1 Weighted and T2 Weighted sagittal images.
There is an ill-defined, hypointense signal on the T1 Weighted images in the sacral and iliac bones adjacent to the left sacro-iliac joint. This signal appears hyperintense on the T2 Weighted and STIR images. Slight irregularity of the margins of the left sacro-iliac joint is noted. No obvious extension of the lesion into the soft tissues around the left sacro-iliac joint is noted.
Similar signal intensity changes but to a lesser degree are noted adjacent to the right sacro-iliac joint.
Screening images of the lumbo-sacral spine reveal a small posterior disc bulge with peridiscal osteophytes at the L4-L5 level.
Altered signal in the sacral and iliac bones adjacent to the sacro-iliac joints bilaterally with probable erosion of the margins of the sacro-iliac joint represents bilateral sacroilitis, probably inflammatory in etiology.