sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzee Galmn / F / 53 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Left Tibia.

CLINICAL PROFILE :

C/O pain in the left leg (below knee) since 3-4 months.

EXAMINATION :

M.R.I of the left tibia was performed using the following parameters :

4 mm thick T1 Weighted sagittal images.

4 mm thick STIR coronal images.

4 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.

OBSERVATION :

There is seen an ill-defined, hypointense signal on the T1 Weighted images in the diaphysis of the proximal third of the left tibia, extending over a 10 cms long segment, approximately 5.0 cms distal to the left knee joint. This lesion appears hyperintense on the T2 Weighted and STIR images. There is no obvious cortical or bone erosion or destruction seen though there is some element of periosteal reaction along the antero-medial margin of the left tibia. The soft tissues overlying the antero-medial margin of the left tibia appear hyperintense on the T2 Weighted and STIR images which may represent inflammatory changes/soft tissue edema.

The zone of transition between the affacted segment and the normal marrow is ill-defined.

The visualized fibula is unremarkable.

There is no extension of the lesion into the left knee joint. The visualized muscles in the proximal left leg are unremarkable.
..2/.



- 2 - scan-00007


IMPRESSION :

Altered signal in the diaphysis of the proximal third of the left tibia as described is not specific for a single etiology. A stressed fracture is a likely possibility.

The possibility of a infective or a neoplastic etiology cannot be excluded.