sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc XyzJhalmn / M / 19 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of Both Hips & S.I.Joints.

CLINICAL PROFILE :

C/O pain in the left hip and in LLE since 1 month.

EXAMINATION :

M.R.I of both hips and sacro-iliac joints was performed using the following parameters :

5 mm thick T1 Weighted and STIR coronal images.

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

The cervico-dorsal and lumbar spines were screened with 5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is an ill-defined, hypointense signal on the T1 Weighted images in the left iliac bone adjacent to the left sacro-iliac joint. This lesion appears hyperintense on the T2 Weighted and STIR images. The left sacral ala is unremarkable. The cortical margin of the left iliac bone adjacent to the left sacro-iliac joint appears intact. The left sacro-iliac joint space is also unremarkable. No soft tissue abnormality is detected around the left sacro-iliac joint.

The right sacro-iliac joint and the visualized spine appear unremarkable.

Focal, subcentimeter, hypointense lesions on all pulse sequences in the left acetabulum and the femoral heads on either side, most likely represent bone islands.


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

The musculature surrounding both the hip joints is normal.

IMPRESSION :

1. Altered signal in the left iliac bone adjacent to the left sacro-iliac joint is probably inflammatory/infective in etiology.

The possibility of this being a neoplastic process cannot be entirely ruled out though less likely.

2. No significant abnormality is detected in the hip joints or in the visualized spine on this study.