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MRI of sacroiliitis

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

Patient history

A patient with irradiating pain in the left leg for several months was reffered for MRI of the lumbosacral region at Meander MC, Amersfoort, The Netherlands.

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 in phase voxels 0.52 x 0.52 x 4.0 mm<br>
 scan time 4:41 min.T2W mDIXON water only T1 TSE
T2W mDIXON in phase
T2W mDIXON water only
T1 TSE
voxels 0.52 x 0.52 x 4.0 mm
scan time 4:41 min.
CT
CT

Diagnosis

The water-only image from the T2W mDIXON TSE scan shows edema in the region of the left sacroiliac joint, which was hard to see on the sagittal T2- and T1-weighted images. The edema is only seen on the outermost slice on the left side. No other abnormalities. CT confirms the left sided sacroiliitis, which turned out to be the first clinical presentation of Crohn’s disease in this patient.

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
Crohn's disease, Lumbar spine, mDIXON TSE, Musculoskeletal, Neuro, sacroiliitis, Spine
 

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