sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzShlmn / M / 35 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in both the hip joints since 7-8 months with 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 axial images.
5 mm thick Proton density sagittal images.
OBSERVATION :
There is seen a well demarcated, hypointense signal on all the pulse sequences in the anterior and superior quadrant of the femoral heads on either side. A perilesional hypointense rim on all the pulse sequences is noted around these lesions. The visualized neck of the femur on either side and the acetabulae are unremarkable. Minimal fluid is noted in the hip joints on either side, more on the right side.
The femoral heads on either side show normal contour. The overlying articular cartilage are also unremarkable.
Slight decrease in the bulk of the right gluteal muscles is noted as compared to the left.
IMPRESSION :
The MRI features suggest Class D avascular necrosis of the femoral heads on either side.