Romanus lesions (MRI)

Case contributed by Roberto Schubert
Diagnosis certain

Presentation

Chronic backaches. HLA-B27 positive.

Patient Data

Age: 40 years
Gender: Male
mri
Sagittal
T1
Sagittal T1
C+ fat sat
Sagittal
T1
Sagittal
T2
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Info

Active inflammatory spondylitis anterior at L4 and S1 (and posterior at L5). Older, inactive Romanus lesions at L5 and Th 10/11. More metachronous Romanus lesions at Th4-8.

Case Discussion

Spondylitis anterior or Romanus lesions are a typical sign of spondylitis ankylosans (Bechterew disease).

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