ke/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzra J. Glmn / M / 46 yrs.
Referred by : Dr. Abc Xyzdhwa.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in the left hip joint since 1 1/2 months.

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 GRASS sagittal images.

OBSERVATION :

Ill-defined, hypointense areas are seen within the head and neck as well as the upper shaft of the left femur on the T1 Weighted images which turn heterogeneously hyperintense on the T2 Weighted images. The articular cartilage overlying the left femoral head is unremarkable. The left femoral head shows normal contour.
Effusion is seen in the left hip joint.

A small hypointense area on the T1 Weighted images is seen in left femoral head, anteriorly which is seen to remain so on the T1 Weighted images and would represent a bone island.

The muscles around the left hip joint are slightly atrophic as compared to the right.

The right hip joint is unremarkable.

IMPRESSION :

1. Altered signal within the head and neck as well as the upper shaft of the left femur may be due to transient osteoporosis. The possibility of early avascular necrosis cannot be entirely excluded.

2. Effusion in the left hip joint.

A follow up scan is recommended.