Presentation
Recent onset severe pelvic pain.
Patient Data
Age: 16 years
Gender: Male
From the case:
Acute sacroiliitis
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Abnormal subchondral bone marrow signal involves both surfaces of the sacroiliac joint more prominently on the left side and displays the low signal on T1 and high signal on T2WI and fat-suppressed images due to the acute inflammatory process (osteitis).
Preserved joint space of ligaments and synovial parts of the right sacroiliac joint.
Normal shape and signal intensity of the muscle attachments. No enthesitis.
Case Discussion
MRI findings are consistent with acute sacroiliitis.