گزارش پزشک

SACROILIAC JOINTS MRI ( with and without contrast )

Technique : Axial , coronal T1 , Axial , coronal T2 , coronal T2 fat sat Axial T1 post Gd  .

REPORT :

The sacroiliac  joints are normally shaped with normal development of the sacrum and iliac wings and a normal – appearing lumbosacral junction .

The joint space is of normal width on both sides and have smooth , sharply defined contours .

The sacrum and iliac wings also contain normal bone marrow and present smooth and  intact cortical boundaries .

The sacral neuroforamina are of normal width and contours .

The nerve filaments shows a normal course and diameter , and the width of the sacral spinal canal is normal .

tumoral infiltration in sacrum ( 60x110x130mm ) with bone destruction , soft tissue component , invasion to rectum , post contrast enhancement , suggestive for neoplasic lesion & bone metastasis

are seen

.COMMENT : image guided CNB is recommended