Radiographs of the sacroiliac joint in oblique view showed sclerosis in the right sacroiliac joint (A, arrows) and ankylosis in the left sacroiliac joint (B, arrows). On pelvic MRI, T1-weighted fat-suppressed images revealed hypointense lesions in the left sacroiliac joint (C, arrow), which were interpreted as ankyloses. T1-weighted fat-suppressed images with gadolinium contrast showed abnormal enhancement in the tendons of the right gluteus medius and left gluteus minimus (D, arrows).