ke/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzth Hanlmn / M / 48 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in the right hip and the RLE since 2 months with tingling.

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 (with fat saturation) images.
5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is loss of normal contour of the right femoral head. Hypointense areas are seen within the right femoral head predominantly in the anterior and superior portion on the T1 Weighted images. This is seen to turn heterogeneously hyperintense on the T2 Weighted and STIR images. The double line sign is noted. There is slight thinning of the articular cartilage overlying the right femoral head. Effusion is seen within the right hip joint.

The acetabular margins are also deformed. Hypointense areas are seen in the right acetabular roof on the T1 Weighted images which are seen to turn hyperintense on the T2 Weighted and STIR images.

The left hip joint is unremarkable. The visualized pelvis is normal.

IMPRESSION :

The MRI features are suggestive of Class C avascular necrosis (Mitchells classification) with effusion in the hip joint and edema in the right acetabular roof as described.