Unilateral sacroiliitis

Case contributed by Chris O'Donnell
Diagnosis almost certain

Presentation

Chronic left buttock pain.

Patient Data

Age: 50 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

mri
Axial T2
fat sat
Axial
T1
Coronal T2
fat sat
Coronal
T1
Download
Info

Left sacroiliac joint shows subarticular sclerosis surrounded by edema, appears to be inflammatory arthritis. No specific features to indicate an infective process and no ankylosis at this time. Right sacroiliac joint is normal.

ct
Scout
Axial bone
window
Coronal
bone window
Download
Info

Unilateral left sacroiliac joint periarticular bone marrow sclerosis and articular erosions.

Case Discussion

Unilateral periarticular bone marrow edema in the left sacroiliac joint with sclerosis and erosion on the CT scan. Appears to be inflammatory arthritis. No specific features to indicate an infective process and no ankylosis at this time. Right sacroiliac joint is normal on CT and MRI.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

:

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.