Romanus lesions on MRI

Case contributed by Dr Roberto Schubert


Chronic backaches. HLA-B27 positive.

Patient Data

Age: 40
Gender: Male

Active inflammatory spondylitis anterior at L4 and S1 (and posterior at L5). Older, inactive Romanus lesions at L5 and Th 10/11. More metachchronous 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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Case information

rID: 14409
Published: 23rd Jul 2011
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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