sb/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzLlmn / M / 15 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in the left hip region since 15 days.
H/O TLL. Operated 1 year back.
H/O fall 1 year ago.

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 images.
5 mm thick T1 Weighted sagittal images.

OBSERVATION :

Scar of previous surgery is noted in the soft tissues overlying the lateral aspect of the left hip joint with post-operative changes and susceptibility artifacts in that region.

Track of previous nailing is noted traversing the greater trochantaric region, the neck and through the epiphysis of the left femoral head. Susceptibility artifacts are noted in these regions.

The epiphysis of the left femoral head is not well identified on this study due to susceptibility artifacts. The contour of the left femoral epiphysis is not well maintained. There is a well marginated, hypointense lesion on all the pulse sequences in the epiphysis of the left femoral head. This may represent Class D avascular necrosis. The left hip joint space is slightly reduced supero-laterally. The articular cartilage overlying the epiphysis of the left femoral head also appears irregular supero-laterally. The left acetabulum is unremarkable. A small left hip joint effusion is noted. The muscles around the left hip joint appear atrophied.

The visualized right hip joint is unremarkable.
..2/.





IMPRESSION :

1. Post-operative status with track of previous nailing identified in the left femoral head, neck and trochanteric region with susceptibility artifacts.

2. Altered signal in the epiphysis of the left femoral head suggest Class D avascular necrosis. Resultant loss of contour of the left femoral head is noted.

3. Probable early osteoarthritic changes in the left hip joint.

No previous plain radiographs were available for review.