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Magnetic Resonance Imaging (MRI) of the Sacrum and Coccyx Without Contrast

Published: August 9, 2026Updated: August 16, 2026

MRI creates detailed images of the lower spine, including the sacrum and tailbone, without using injected contrast dye.

Quick summary

["This MRI examines the sacrum and tailbone for injuries and other structural or tissue abnormalities."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
36522-1
Short code
MR Sacrum+Coccyx WO contr
Synonyms
MR Sacrum+Coccyx WO contr
Category
liver
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
mr
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What is this test?

Magnetic resonance imaging (MRI) uses a strong magnetic field and radio waves to create detailed pictures of the sacrum at the base of the spine and the coccyx, or tailbone. This version is performed without injected contrast dye.

Why might I need this test?

Your clinician may order this MRI to evaluate tailbone or lower-spine pain, trauma, suspected fractures, stress injuries, or persistent symptoms such as pain when sitting. It can also help identify tissue abnormalities that may not be visible on standard X-rays.

How is the test performed?

You will lie on a table inside an MRI scanner while the machine takes images from several angles. The scan may be noisy and can take 30 to 60 minutes, although the exact time varies. A technologist will guide you and may ask you to remain still.

How do I prepare for the test?

Follow the instructions provided by your imaging center. Remove jewelry, hairpins, hearing aids, and other metal-containing items before entering the scanner area. Tell the care team if you have an implanted medical device, pregnancy possibility, or a history of reactions to MRI contrast, even though contrast is not used in this examination.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Abnormal findings may include a fracture, stress injury, degenerative change, fluid collection, inflammation, or a bone or soft-tissue lesion. The results are interpreted together with your symptoms, physical examination, and other imaging or laboratory tests. A radiologist's report is reviewed by your ordering clinician, who can explain what the findings mean for you.

Short name

Sacrum and Coccyx MRI Without Contrast

Frequently asked questions

Is contrast dye used for this MRI?
No. The term “without contrast” means that no contrast dye is injected, although you may still receive fluids by mouth if your care team recommends it.
Does an MRI of the sacrum and coccyx require radiation?
No. MRI uses magnetic fields and radio waves rather than ionizing radiation.
Can I have this MRI if I am pregnant?
Notify the imaging center if you are pregnant or might be pregnant. Your clinician and the MRI team will determine whether the examination is appropriate and how to proceed.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy