ke/sb/nl/rg.

Name of the Patient : Abc Xyz Jalmn / M / 18 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Sacro-iliac Joints.

CLINICAL PROFILE :

C/O backache with pain radiating to BLE (left more than right).

EXAMINATION :

M.R.I of the sacro-iliac joints spine was performed using the following parameters :

4 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.

5 mm thick T1 Weighted and STIR coronal images.

The lumbo-sacral spine was screened with 5 mm thick T1 Weighted sagittal and axial images.

OBSERVATION :

There is replacement of the normal marrow of the iliac bones adjacent to the sacro-iliac joints, bilaterally, by hypointense areas on the T1 Weighted images. These are seen to turn hyperintense on the T2 Weighted and STIR images. No obvious cortical erosion is seen. The sacro-iliac joints per se is normal. The visualized soft tissues are unremarkable.

The lumbar spine was screened with 5 mm thick T1 Weighted sagittal and axial images. Sacralization of the L5 vertebral body is noted.

The visualized hip joints are unremarkable on either side.

IMPRESSION :

Altered signal of the iliac bones adjacent to the sacro-iliac joints, bilaterally most likely suggests sacroilitis, probably inflammatory in etiology.