Tuesday Tip: Romanus Lesions 3: MRI Findings

Today’s Tuesday Tip is the last in the series on Romanus lesions in ankylosing spondylitis and looks at the MRI findings in both acute and chronic changes.

The changes seen at the endplate corners in enthesitis are progressive.

1. In the acute stage inflammatory changes are present at the vertebral endplate corners ( anterior > posterior)
2. As the inflammation reduces that region is replaced by fatty infiltration and at the end stage, becomes sclerotic.

Thank you to Dr Joe Thomas Rheumatologist from India for his involvement with all the posts on Romanus Lesions.

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Whats the Purpose of the Tuesday Tips?: Many of the Tuesday Tip posts arise from questions or difficulties that people bring up in the Mini Fellowships. These posts are meant to be short and concise to answer those questions.

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