ke/hs/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz. lmn / F / 40 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in the right hip and thigh since 6 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 (with fat saturation) axial images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is a hypointense signal in the antero-superior aspect of the head of the right femur on the T1 Weighted images. This is seen to turn heterogeneously hyperintense on the T2 Weighted and STIR images.

A hypointense area is seen in the antero-superior portion of the head of the left femur on the T1 Weighted images and is seen to remain so on the T2 Weighted and STIR images.

A hypointense area is seen in the acetabular roof (se/im. 104/6 & 105/6) on the T1 Weighted images and which is seen to turn hyperintense on the STIR images and which may represent a degenerative cyst.

The articular cartilages are unremarkable. There is no effusion within both the hip joints.

The musculature surrounding both the hip joints and the visualized pelvis is unremarkable.
..2/.







IMPRESSION :

The MRI features are suggestive of :

1. Class C avascular necrosis (Mitchels classification) of the right femur with a probable degenerative cyst in the acetabulum as described.

2. Class D avascular necrosis (Mitchels classification) of the
left femur.