A 36-year-old woman presented with joint pain and swelling, not improving with nonsteroidal anti-inflammatory drugs. Plain radiographs of feet, ankles, pelvis and lumbar spine were unremarkable. To rule out seronegative spondylarthropathy, MRI of the sacro-iliac joints (SIJ) was performed. The SIJ were normal, but multiple, nodular zones of bone marrow replacement were seen within the iliac and...