ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzlmn / M / 47 yrs.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in the right hip joint with limp.
H/O right metatarsal fracture 3 months back.
H/O left hip replacement 3 years back.

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 slight loss of normal contour of the right femoral head which shows hyperintense areas on the T1 Weighted images in its antero-superior quadrant. These are seen to turn hypointense on the STIR images and follow fat signal intensity characteristics. Few hypointense areas are also noted on the T1 Weighted images which are seen to turn hyperintense on the T2 Weighted and FLAIR images. The double line sign is noted. There is slight effusion noted within the right hip joint.

The articular cartilage overlying the right femoral head appears normal. The acetabulum is unremarkable.

The musculature surrounding the right hip joint appears slightly atrophied.



- 2 - scan-00000


Susceptibility artifacts are noted in the left hip joint due to the previous surgery.

IMPRESSION :

The MRI features are suggestive of Class A and Class C avascular necrosis (Mitchells classification) of the right femoral head as described.

The patient is status post-operative for the left hip replacement.