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Slice 6 of 1
Can you make the diagnosis?
Review the images, then reveal
MRIMusculoskeletalConfirmedFRCR 2B
Romanus lesions (MRI)
Clinical Presentation
Chronic backaches. HLA-B27 positive.
- 1Active inflammatory spondylitis anterior at L4 and S1 (and posterior at L5)
- 2Older, inactive Romanus lesions at L5 and Th 10/11
- 3More metachronous Romanus lesions at Th4-8.