sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzakant Rankhlmn / M / 24 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in the left hip with limp since 5-6 years.
H/O Pulmonary kochs since 4 months. On AKT.

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 (with fat saturation) axial images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is loss of normal contour of the left femoral head. There is an ill marginated, hypointense signal on the T1 Weighted images in the antero-superior quadrant of the left femoral head. This lesion appears heterogeneously hyperintense on the STIR and T2 Weighted images. There is reduction in the left hip joint space with irregularity of the articular cartilage overlying the left femoral head. Marginal osteophytosis is noted. The left acetabulum shows normal signal intensity. There is no left hip joint effusion. Slight atrophy of the muscles around the left hip joint is noted.

The visualized right hip joint is unremarkable.

IMPRESSION :

Changes in the left femoral head as described suggest Class C avascular necrosis of the left femoral head, with secondary osteoarthritis.