School ager with sacral pain Pediatric Imaging Musculoskeletal June 23, 2023June 12, 2023 Axial T2 MRI of the sacrum (above) shows large areas of bright signal in the left sacrum and in the left sacroiliac joint that show diffuse enhancement on axial T1 MRI with contrast (below). The diagnosis was acute osteomyelitis of the left sacrum. Related Published June 23, 2023June 12, 2023