sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzand Palmn / M / 35 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in the RLE with swelling over the right knee since 20 days and limp.

EXAMINATION :

M.R.I of both hips was performed using the following parameters :

5 mm thick T1 Weighted and STIR coronal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

5 mm thick GRASS sagittal images.

OBSERVATION :

There is slight loss of normal contour of the left femoral head. There are multiple well-demarcated geographical areas following fat signal intensity characteristics on all the pulse sequences in the left femoral head. These areas represents areas of avascular necrosis (Class A). Ill-defined, hyperintense signal on the T2 Weighted and STIR images in the neck of the left femur may represent bone edema. A small left hip joint effusion is noted. Slight reduction in the left hip-joint space is also noted. The left acetabulum and the articular cartilage overlying the left femoral head are unremarkable.

Similar signal intensity changes are noted in the head and neck of the right femur. A small right hip joint effusion is noted. The right femoral head however shows normal contour. The right acetabulum and the articular cartilage overlying the right femoral head are unremarkable.


Slight decrease in bulk of the muscles around the left hip joint is noted when compared to the right. Ill-defined, hyperintense signal on the T2 Weighted and STIR images in the soft tissue in the right gluteal region is the sequelae of an intramuscular injection at that site.
Susceptibility artifacts are noted in the region of the left iliac bone, superiorly which may be the sequelae of previous bone grafting.

The rest of the visualized bones of the pelvis and the femora shows spotty fatty marrow changes suggesting osteoporosis.

IMPRESSION :

The MRI features are suggestive of Class A avascular necrosis of the femoral heads on either side with small hip joint effusions bilaterally.

Susceptibility artifacts in the region of the left iliac bone may be the sequelae of previous bone grafting.