ke/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Awalmn / F / 35 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in the left hip joint 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 Proton density sagittal images.

OBSERVATION :

There is a well-defined lesion in the neck of right femur near the greater trochanter (but sparing the same) measuring approximately 1.5 x 2.0 x 2.8 cms. This lesion is hypointense to normal marrow on the T1 Weighted images and is seen to turn hyperintense on the T2 Weighted and STIR images. The cortex appears to be intact. There is no surrounding edema. Similar lesion is noted in the roof of the acetabulum on the left, measuring approximately 2.0 cms in diameter.

The femoral heads and the right acetabulum reveal normal signal intensity. There is no obvious bony destruction or erosions noted. The articular cartilages are unremarkable. There is no effusion within both the hip joints.

Slight decrease in bulk of the muscles around the left hip joint is noted.

The visualized pelvis is normal.


IMPRESSION :

Lesion in the neck of the right femur, near the greater trochanter measuring approximately 1.5 x 2.0 x 2.8 cms and in the roof of the left acetabulum as described are not specific for a single etiology. The possibilities to be considered are simple bone cysts, fibrous dysplasia or brown tumors. The possibility of a malignant lesion seems less likely.