HELLO,I M KUNAL MANNA,AGE 22 YR. APPROX. 2 MONTHS AGO I FELT SEVERE LOW BACK PAIN .I WENT TO MY ORTHOPEDIC .HE SUGGESTED ME TO DO AN X-RAY & MRI OF LUMBOSACRAL SPINE .THE MRI REPORT IS AS FOLLOWS, THIS SUGGESTS THE SACRALIZATION OF L5 VERTEBRA ON LEFT SIDE WITH EVIDENCE OF RIGHT SIDED ACUTE SACROILIITIS.THERE ARE DEGENERATIVE CHANGES IN LUMBOSACRAL SPINE WITH POSTERO-LATERAL DISC HERNIATIONS AT L1-L2 TO L5-S1.THESE DISCS ARE COMPRESSING THE THECAL SAC & CAUDA EQUINA NERVE ROOTS.THERE IS NO SECONDARY CENTRAL CANAL STENOSIS . SUGGESTED CLINICAL CORRELATION & FURTHER INVESTIGATIONS IF CLINICALLY INDICATED.AN INFLAMMATORY SPONDYLOARTHROPATHY LIKE ANKULOSING SPONDYLOSIS NEEDS TO BE EXCLUDED.” PARALLEL ALLY I FELT SEVERE PAIN IN LEFT KNEE JOINT & IT BECAME STIFF.MY Dr. FURTHER SUGGESTED TO DO AN MRI OF LEFT KNEE JOINT. THE REPORT OF LEFT KNEE JOINT MRI IS AS BELOW, THIS SUGGESTS EFFUSION IN LEFT KNEE JOINT WITH OEDEMA IN THE SOFT TISSUE AROUND KNEE JOINT.FEATURES FAVOUR AN INFLAMMATORY AETIOLOGY. SUGGESTED CLINICAL CORRELATION AND FURTHER INVESTIGATIONS IF CLINICALLY INDICATED. NOW AFTER COMPLETION AN ANTIBIOTIC COURSE I FELT A LITTLE BIT BETTER BUT THE PAIN IS COMING BACK. MY INCONSISTENT BLOOD REPORT DURING ANTIBIOTIC COURSE IS AS FOLLOWS, DATE- 29/11/11 -ESR -62, CRP-12mg/ml DATE-04/01/13 -ESR-90, CRP-12mg/ml DATE- 09/01/13-ESR-60, CRP-12mg/ml ALL OTHER REPORTS ARE WITHIN NORMAL RANGE. URIC ACID NORMAL. SO,I M LOOKING FORWARD TO YOUR VALUABLE OPINION ON THIS REGARD.