Sunday, 27 December 2015 16:48

14103

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ke/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzm lmn / F / 18 yrs.
Referred by : Dr. Abc Xyzaubal.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in left hip with swelling and limitation of movements since 1 month.
H/o fever since 1 month.

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 (with fat saturation).
5 mm thick Proton density sagittal images.

OBSERVATION :

There are hypointense areas on the T1 Weighted images within the head of the femur and acetabulum on the left side. These are seen to turn heterogeneously hyperintense on the proton, T2 Weighted and STIR images. A large effusion is seen within the left hip joint. The muscles around the left hip joint are atrophied as compared to the right.

The right hip joint is unremarkable.

The femoral head and the acetabulum on the right side reveal normal signal intensity. There is no obvious bony destruction or erosion noted on the right side.

The visualized pelvis is normal.

IMPRESSION :

The MRI features are suggestive of altered signal within the head of the femur and acetabulum on the left side with a large effusion as described and this most likely is infective in etiology.





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