Acute sacroiliitis - unilateral

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Pelvic pain on the left side.

Patient Data

Age: 25 years
Gender: Female

Abnormal subchondral bone marrow signal involves the left sacroiliac joint and displays the low signal on T1 and high signal on STIR images due to the acute inflammatory process (osteitis)

Minimum subchondral bone marrow edematous changes on the right sacroiliac joint

Preserved joint space of ligaments and synovial parts of the sacroiliac joints

Normal shape and signal intensity of the muscle attachments

No enthesitis.

Case Discussion

MRI findings are consistent with left-sided acute sacroiliitis.

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