Question 2188
{"accessible":true,"alternatives":[{"id":10860,"text":"Andersson and Romanus lesions"},{"id":10861,"text":"Andersson lesions"},{"id":10862,"text":"bamboo spine"},{"id":10863,"text":"infectious spondylodiscitis"},{"id":10864,"text":"Romanus lesions"}],"archived":false,"correctAlternativeId":10860,"explanation":"\u003cp\u003eThere are hemispheric-shaped lesions of high T2 signal involving the central portion of both vertebral halves and discs of T10-T11,\u0026nbsp;T11-T12, and L1-L2.\u0026nbsp;These discovertebral lesions are called \u003ca href=\"/articles/andersson-lesion-1\"\u003eAndersson lesions\u003c/a\u003e and are considered inflammatory\u0026nbsp;or non-infectious lesions seen in about 8% of patients with\u0026nbsp;\u003ca href=\"/articles/ankylosing-spondylitis-1\" title=\"Ankylosing spondylitis\"\u003eankylosing spondylitis\u003c/a\u003e.\u003c/p\u003e\u003cp\u003eThere are also high T2 signal lesions present at the anterior vertebral edges of L1 and L3, not suppressed on fat sat sequences (not shown). These vertebral edges lesions are called\u0026nbsp;\u003ca href=\"https://radiopaedia.org/articles/romanus-lesion-vertebral-bodies?lang=gb\"\u003eRomanus lesions\u003c/a\u003e\u0026nbsp;and represent\u0026nbsp;an early finding in\u0026nbsp;\u003ca href=\"https://radiopaedia.org/articles/missing?article%5Btitle%5D=inflammatory-spondyloarthropathy\u0026amp;lang=gb\"\u003einflammatory spondyloarthropathies\u003c/a\u003e,\u0026nbsp;such as\u0026nbsp;\u003ca href=\"https://radiopaedia.org/articles/ankylosing-spondylitis-1?lang=gb\"\u003eankylosing spondylitis\u003c/a\u003e\u0026nbsp;and\u0026nbsp;\u003ca href=\"https://radiopaedia.org/articles/enteropathic-arthritis?lang=gb\"\u003eenteropathic arthritis\u003c/a\u003e.\u003c/p\u003e","id":2188,"imageUrl":"https://prod-images-static.radiopaedia.org/multiple_choice_questions/416/andersson-and-romanus-lesions_big_gallery.jpeg","imageAttribution":{"kind":"case","rID":91855},"imageAttributionCaseInfo":{"title":"Andersson and Romanus lesions","contributor_name":"Ammar Haouimi","contributor_param":"ammar-haouimi","case_rid":91855,"case_param":"andersson-and-romanus-lesions"},"firstQuestionPath":"/questions/2188","nextQuestionPath":"/articles/bamboo-spine-ankylosing-spondylitis/questions/1756","relatedArticles":[{"id":4966,"title":"Spondylodiscitis","link":"/articles/spondylodiscitis?lang=us"},{"id":14405,"title":"Andersson lesion","link":"/articles/andersson-lesion-1?lang=us"},{"id":35486,"title":"Romanus lesion (vertebral bodies)","link":"/articles/romanus-lesion-vertebral-bodies?lang=us"},{"id":904,"title":"Ankylosing spondylitis","link":"/articles/ankylosing-spondylitis-1?lang=us"}],"alsoUsedIn":[],"stem":"\u003cp\u003eA 35 year-old male with known ankylosing spondylitis presented with a history of chronic low back pain. Which of the following MR features is shown on this sagittal T2 sequence?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/2188"}],"attemptsPercentages":[{"alternativeId":"10860","percentage":58},{"alternativeId":"10861","percentage":15},{"alternativeId":"10864","percentage":13},{"alternativeId":"10863","percentage":8},{"alternativeId":"10862","percentage":6}],"promptToLogin":false,"questionManager":false,"articleId":"bamboo-spine-ankylosing-spondylitis"}