• A 28-year-old patient

  • Familial history of SpA

  • Acute left back pain that worsens during the night and improves upon getting up

  • Limitation of motion of the spine

Fig. 1
figure a

Sagittal and axial SE T1-weighted images with fat saturation following the administration of contrast medium (a–b). The images show acute inflammation of the left facet joint at L1–L2 (a, circle), better demonstrated in the axial plane, extending to the lamina and adjacent soft tissues (b, arrows)