case_images: PMC5857328_01
case_images: Coronal gadolinium-enhanced fat-suppressed T1-weighted MRI scan of the sacroiliac joints showing chronic degeneration and acute sacroiliitis.
case_images: CRIRH2018-6150875.001.jpg
case_images: PMC5857328_01_CRIRH2018-6150875.001.jpg
case_images: fig1
case_images: A T1-weighted fat-suppressed gadolinium-enhanced MRI of the sacroiliac joints indicated joint space narrowing, bone erosions, subchondral sclerosis, and cortical irregularities in joint margins, indicating chronic damage and contrast agent uptake, both intra-articular and in the subchondral bone marrow, which is favorable for acute sacroiliitis (Figure 1).
case_images: T1-weighted sagittal MRI scan of the lumbar spine indicating old Romanus lesions.
case_images: CRIRH2018-6150875.002.jpg
case_images: PMC5857328_01_CRIRH2018-6150875.002.jpg
case_images: fig2
case_images: Lumbar MRI showed fatty degeneration on the anterior vertebral margins indicative of old Romanus lesions as well as multiple cysts and enlarged kidneys (Figures 2 and 3).
case_images: T2-weighted axial MRI scan indicating enlarged kidneys and multiple cysts.
case_images: CRIRH2018-6150875.003.jpg
case_images: PMC5857328_01_CRIRH2018-6150875.003.jpg
case_images: fig3
case_images: Lumbar MRI showed fatty degeneration on the anterior vertebral margins indicative of old Romanus lesions as well as multiple cysts and enlarged kidneys (Figures 2 and 3).
case_images: PMC5857328_02
case_images: Plain radiograph of the sacroiliac joints demonstrating right grade 3 and left grade 2 sacroiliitis.
case_images: CRIRH2018-6150875.004.jpg
case_images: PMC5857328_02_CRIRH2018-6150875.004.jpg
case_images: fig4
case_images: A plain anteroposterior radiograph of the patient's pelvis showed grade 3 sacroiliitis on the right side and grade 2 sacroiliitis on the left side (Figure 4).
case_images: Coronal fat-suppressed T2-weighted MRI scan of the sacroiliac joints in favor of acute sacroiliitis and bilateral sclerosis.
case_images: CRIRH2018-6150875.005.jpg
case_images: PMC5857328_02_CRIRH2018-6150875.005.jpg
case_images: fig5
case_images: A T2 fat-suppressed sacroiliac joint MRI demonstrated widespread edematous T2 signal augmentation on the sacral sides of the bilateral sacroiliac joints, indicating acute sacroiliitis and bilateral sclerosis (Figure 5).
case_images: T2-weighted axial MRI scan showing polycystic kidneys.
case_images: CRIRH2018-6150875.006.jpg
case_images: PMC5857328_02_CRIRH2018-6150875.006.jpg
case_images: fig6
case_images: Lumbar MRI revealed Modic type 2 degeneration on the anterior aspects of L1, L2, and L3 vertebrae, indicating old Romanus lesions, multiple cysts, and enlarged kidneys (Figures 6 and 7).
case_images: T2 sagittal MRI scan of the lumbar spine revealing Modic type 2 degeneration.
case_images: CRIRH2018-6150875.007.jpg
case_images: PMC5857328_02_CRIRH2018-6150875.007.jpg
case_images: fig7
case_images: Lumbar MRI revealed Modic type 2 degeneration on the anterior aspects of L1, L2, and L3 vertebrae, indicating old Romanus lesions, multiple cysts, and enlarged kidneys (Figures 6 and 7).