ke/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzb Anlmn / M / 14 yrs.
Referred by : Dr. Abc Xyzapadia.
Examination : M.R.I. of the Sacro-iliac joint.

CLINICAL PROFILE :

C/O backache and pain in the joints of BLE since 1 month.
C/O Rheumatic fever 1 month ago.

EXAMINATION :

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

5 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.

OBSERVATION :

There is replacement of the normal marrow of the iliac bones by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted and STIR images. These changes are less evident in the sacrum. Both the sacro-iliac joints inferiorly show fuzzy margins. Hyperintense signal around the right sacro-iliac joint on the T2 Weighted images may represent reactive inflammatory changes. There is no obvious bony destruction or erosion. The visualized soft tissues around the left sacro-iliac joint are unremarkable.

The visualized musculature of the pelvis appears normal. The hip joints are unremarkable on either side.

The lumbo-sacral spine was screened with 4 mm thick T1 Weighted sagittal images and does not reveal any diagnostic feature of note.

IMPRESSION :

The MRI features are suggestive of inflammatory sacroilitis bilaterally.