[Hip 6yrs Bilateral Pain 38F.jpg]
These are images from (bilateral) hip MRI in open 1.2T MRI
There is bandlike marrow edema within both anterior Sacral ala with ? fracture. There is subchondral Dark T1/PDFS marrow signal on both sides of joint; I don’t see joint widening, erosions or synovitis.
There is bilateral SI pericapsular edema.
I’m considering chronic sacral stress fractures, but then I can’t explain the SI pericapsular edema.
I’m wondering if there is acute on chronic sacroiliitis and possible superimposed stress fractures? That seems crazy.
And I’m not sure if there is too much sclerosis on both sides of both SI joints to consider osteitis condensans ilii…but then I can’t explain either the pericapsular edema or the bilateral sacral edema.
[Hip 6yrs Bilateral Pain 38F (1).jpg]
[Hip 6yrs Bilateral Pain 38F (2).jpg]
