Lumbar Spine MRI

Discitis 

Additional sequences

Sagittal STIR

Diffusion 

Contrast study SOS

Ask history of fever , night fever , chills whether  acute (<2 weeks) , subacute (>2 weeks)

Lab : elevated ESR,CRP


Disco-vertebral lesion &   Spondylo-discitis

same as in Discitis  

Coronal and sagittal STIR 

Sagittal GRE 

Diffusion

X-ray needed - at least Lateral view

Lab : elevated ESR, Mantoux test 



Spondylo-discitis with soft tissue component 

Contrast study  


Single Vertebral   lesion 

Additional MRI sequences

GRE sagittal


Multiple Vertebral lesions 


Generalized  marrow signal alteration 


Vertebral metastasis  




Osteoporotic collapse


Focal lesion in the thecal sac 


Dural/Meningeal thickening  




Arachnoditis 



Incidental SI joint pathology 




Psoas lesions 




Erector spinae atrophy 


Spinal cord cyst  



Extradural spinal cyst 




Spinal cord mass 




Fracture spine