hs/ke/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzar B. Jamsandlmn / M / 49 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in both hips.
H/O alcoholism.
H/O steroids intake for asthama.

EXAMINATION :

M.R.I of both hips was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.

5 mm thick T1 Weighted and STIR coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

Diffuse, irregularly defined areas of hypointensity on the T1 Weighted images which turn heterogeneously hyperintense on the T2 Weighted and STIR images are seen within the head and neck of the femur, bilaterally and the right acetabulum.

The left femoral head has an irregular contour with irregularity of the overlying articular cartilage. The left acetabular margin is also irregular. Effusion is seen within both hip joints (left more than right).

The right iliacus muscle is bulky and is hyperintense on the STIR images. There is probable involvement of the visualized right psoas muscle.

There is slight enlargement of the prostate gland.



IMPRESSION :

The MRI features are suggestive of :

1. Altered signal of the head and neck of the femur bilaterally and the right acetabulum with joint effusions (? avascular necrosis ? an infective process).

2. Bulky right iliacus muscle with altered signal may represent an infective pathology. A dedicated study of the pelvis and lumbar region may be worthwhile.