Date : 00.00.00
Name of the Patient : Abc Xyz Kelmn / F / 30 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the S. I. Joints.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE since 2 years.
M.R.I of the S. I. joints was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
4 mm thick T1 Weighted and STIR coronal images.
There is replacement of the normal marrow of the right iliac bone adjacent to the right sacro-iliac joint by hypointense areas on the T1 Weighted images. These are seen to turn hyperintense on the T2 Weighted and STIR images. Similar altered signal intensity is seen in the right sacral ala, anteriorly (scan 104.8). The left sacro-iliac joint per se appears normal. No obvious bony erosion or destruction is seen.
The visualized soft tissues are unremarkable.
The visualized musculature of the pelvis appears normal.
Incidental note is made of bulky endometrial cavity and a left ovarian cyst.
Altered signal of the right iliac bone adjacent to the right sacro-iliac joint is not specific for a single etiology. This most likely represents an inflammatory sacroilitis.
The possibility of this being neoplastic in etiology is less likely.