Kaya Hasan E, Kerimoğlu Ülkü
From the Department of Radiology, Meram School of Medicine, Necmettin Erbakan University, Beyşehir Street, 42080 Meram, Konya, Turkey.
Radiology. 2019 May;291(2):539-541. doi: 10.1148/radiol.2019170905.
History A 20-year old woman living in Turkey presented with a 3-month history of lower back pain. She had no medical history of note and was taking no medications. Complete blood count, C-reactive protein level, sedimentation rate, and creatinine, alanine aminotransferase, and aspartate aminotransferase levels were within normal limits. Anteroposterior pelvic radiography and unenhanced pelvic CT were performed to rule out sacroiliitis. The imaging findings were abnormal, and the patient underwent contrast-enhanced sacroiliac MRI. A few days later, she underwent contrast-enhanced (100 mL iohexol, Omnipaque; GE Healthcare, Cork, Ireland) abdominal CT because of right upper quadrant pain. Figure 1: Anteroposterior pelvic radiograph. Figure 2: Axial unenhanced pelvic CT image. Figure 3a: Coronal T2-weighted fat-saturated fast spin-echo (repetition time msec/echo time msec, 2220/57; section thickness, 4 mm), axial unenhanced T1-weighted fat-saturated, and axial contrast-enhanced (20 mL gadoteric acid, Dotarem; Guerbet, Roissy, France) T1-weighted fat-saturated (400/20; section thickness, 4 mm) sacroiliac images from MRI. Figure 3b: Coronal T2-weighted fat-saturated fast spin-echo (repetition time msec/echo time msec, 2220/57; section thickness, 4 mm), axial unenhanced T1-weighted fat-saturated, and axial contrast-enhanced (20 mL gadoteric acid, Dotarem; Guerbet, Roissy, France) T1-weighted fat-saturated (400/20; section thickness, 4 mm) sacroiliac images from MRI. Figure 3c: Coronal T2-weighted fat-saturated fast spin-echo (repetition time msec/echo time msec, 2220/57; section thickness, 4 mm), axial unenhanced T1-weighted fat-saturated, and axial contrast-enhanced (20 mL gadoteric acid, Dotarem; Guerbet, Roissy, France) T1-weighted fat-saturated (400/20; section thickness, 4 mm) sacroiliac images from MRI. Figure 4: Axial contrast-enhanced CT image of the abdomen.
病史 一名居住在土耳其的20岁女性，出现下背部疼痛3个月。她无显著病史，未服用任何药物。全血细胞计数、C反应蛋白水平、血沉以及肌酐、丙氨酸转氨酶和天冬氨酸转氨酶水平均在正常范围内。进行了骨盆前后位X线摄影和未增强的骨盆CT检查以排除骶髂关节炎。影像学检查结果异常，患者接受了增强骶髂关节MRI检查。几天后，由于右上腹疼痛，她接受了增强（100 mL碘海醇，欧乃派克；通用电气医疗集团，科克，爱尔兰）腹部CT检查。图1：骨盆前后位X线片。图2：轴位未增强骨盆CT图像。图3a：冠状位T2加权脂肪抑制快速自旋回波（重复时间毫秒/回波时间毫秒，2220/57；层厚，4 mm）、轴位未增强T1加权脂肪抑制以及轴位增强（20 mL钆特酸，多他灵；顾拜特公司，鲁瓦西，法国）T1加权脂肪抑制（400/20；层厚，4 mm）的骶髂关节MRI图像。图3b：冠状位T2加权脂肪抑制快速自旋回波（重复时间毫秒/回波时间毫秒，2220/57；层厚，4 mm）、轴位未增强T1加权脂肪抑制以及轴位增强（20 mL钆特酸，多他灵；顾拜特公司，鲁瓦西，法国）T1加权脂肪抑制（400/20；层厚，4 mm）的骶髂关节MRI图像。图3c：冠状位T2加权脂肪抑制快速自旋回波（重复时间毫秒/回波时间毫秒，2220/57；层厚，4 mm）、轴位未增强T1加权脂肪抑制以及轴位增强（20 mL钆特酸，多他灵；顾拜特公司，鲁瓦西，法国）T1加权脂肪抑制（400/20；层厚，4 mm）的骶髂关节MRI图像。图4：腹部增强CT轴位图像。
