sb/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz C. Trilmn / M / 47 yrs.
Referred by : Dr. Abc Xyz Vasavada.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in both hips with inability to squat and difficulty in walking since 1 year.

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 loss of normal contour of the right femoral head. There is an ill-marginated, hypointense signal on all pulse sequences in the superior half of the right femoral head. This lesion remains hypointense on the T2 Weighted and STIR images and is demarcated from the rest of the femoral head by a hypointense rim on all the pulse sequences. Ill-defined hyperintense signal on the T1 Weighted and STIR images in the neck of the right femur may represent bone edema. Slight irregularity of the articular cartilage over the right femoral head is noted. There is small, right hip joint effusion. The visualized right acetabulum is unremarkable.

There is seen a geographical area following fat signal characteristics on all pulse sequences in the head of the left femur. This lesion is demarcated from the rest of the femoral head by a hypointense rim on all pulse sequences. Hyperintense signal on T2 Weighted and STIR images in the neck of the left femur may represent bone edema. The articular cartilage overlying the left femoral head appears unremarkable. There is a small left hip joint effusion. The visualized left acetabulum is unremarkable.
..2/.




>

IMPRESSION :

The MRI features are suggestive of :

1. Class D avascular necrosis of the right femoral head.

2. Class A avascular necrosis of the left femoral head.