EURORAD ESR

Case 14468

Unilateral sacroilitis due to brucellosis: MRI findings

Author(s)
Kontaki T, Kotoula A, Katsiris N, Siskas D, Pozoukidis C

General Hospital Kozani; Rousiadou 17 50131 Kozani, Greece; Email:k.theodosia@yahoo.gr
 
Patient
female, 34 year(s)
 
 
  • Figure 1
    Plain film

    Normal findings from the sacroiliac joints.

     
    Area of Interest: Musculoskeletal system; Imaging Technique: Digital radiography; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 2
    Axial STIR image

    Fluid in the right sacroiliac joint, bone marrow edema, periarticular muscle edema.

     
    Area of Interest: Musculoskeletal system; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 3
    Axial STIR image

    Muscle edema along iliopsoas muscle (long arrows), irregularity and small bone erosions (small arrows).

     
    Area of Interest: Musculoskeletal system; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 4
    Coronal STIR image

    Expansion of bone marrow edema.

     
    Area of Interest: Musculoskeletal system; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 5
    Axial T1-weighted image

    Bone marrow edema, as low-intensity signal in ilium and sacrum (arrows).

     
    Area of Interest: Musculoskeletal system; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 6
    Contrast enhanced fat supressed T1-weighted image

    Bone marrow enhancement within right ilium and sacrum and sacroiliac joint space enhancement.

     
    Area of Interest: Musculoskeletal system; Imaging Technique: MR; Procedure: Contrast agent-intravenous; Special Focus: Infection;
     
     
  • Figure 7
    Axial STIR image

    Remission of muscle edema.

     
    Area of Interest: Musculoskeletal system; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 8
    Follow up MRI, axial STIR image

    Remission of bone marrow edema, effacement of muscle edema.

     
    Area of Interest: Musculoskeletal system; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
Normal findings from the sacroiliac joints.
 
Fluid in the right sacroiliac joint, bone marrow edema, periarticular muscle edema.
 
Muscle edema along iliopsoas muscle (long arrows), irregularity and small bone erosions (small arrows).
 
Expansion of bone marrow edema.
 
Bone marrow edema, as low-intensity signal in ilium and sacrum (arrows).
 
Bone marrow enhancement within right ilium and sacrum and sacroiliac joint space enhancement.
 
Remission of muscle edema.
 
Remission of bone marrow edema, effacement of muscle edema.
 
 
 
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