Date : 00.00.0000
Name of the Patient : Abc Xyz Plmn / F / 65 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the S. I. Joints.
CLINICAL PROFILE :
C/O backache with pain radiating to the RLE.
M.R.I of the S. I. joints was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
5 mm thick T1 Weighted and STIR coronal images.
There is an ill-defined hypointense area in the sacral ala adjacent to the right sacro-iliac joint on the T1 Weighted images. The superior portion of this lesion is seen to turn heterogeneously hyperintense on the T2 Weighted and STIR images. The inferior portion of the lesion is seen to bloom on the T1 Weighted and STIR images and would represent sclerosis. The iliac bone also shows hypointense signal on all the pulse seuences adjacent to the sacro-iliac joint. The sacro-iliac joint space shows widening with erosions.
The visualized soft tissues are unremarkable.
The visualized musculature of the pelvis appears normal.
The left sacro-iliac joint is unremarkable.
The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images which shows a small posterior disc heriation at the L4-L5 and L5-S1 levels. Slight retroplacement of the L5 over the S1 is noted.
- 2 - Scan-00004
Altered signal within the sacral ala adjacent to the right sacro-iliac joint and the iliac bone is probably infective/inflammatory in etiology.