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MRI of low-grade osteomyelitis

Case Study
Heggelman, Ben, M.D. Meander Medisch Centrum Amersfoort • Netherlands

Patient history

This patient underwent rectum amputation and radiotherapy three years before because of rectal cancer. She presented with lower back pain and was examined on Ingenia 1.5T at Meander Medical Center in Amersfoort, The Nethelands.

MR examination

The patient was examined on Ingenia 1.5T using the integrated Posterior coil.

 

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Images

Click on image to enlarge.
 T2W mDIXON water only T2W mDIXON in phase T1 TSE
T2W mDIXON water only
T2W mDIXON in phase
T1 TSE

Diagnosis

Edema in the sacrum is easily seen on the water-only reconstruction of the T2W mDIXON TSE. This was less obvious to recognize on the T2W without fat suppression and T1-weighted TSE images. Reactive prevertebral lymph nodes are seen. Diagnosis is low-grade osteomyelitis of the sacrum.

Related reading

 

Results from case studies are not predictive of results in other cases. Results in other cases may vary.



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Nov 10, 2015

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Case Study
Ingenia 1.5T
Lumbar spine, mDIXON TSE, Musculoskeletal, Neuro, osteomyelitis, sacrum, Spine
 

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