Sunday, 27 December 2015 16:48

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Date : 00.00.00

Name of the Patient : Abc Xyz S. Glmn / M / 15 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in the left hip region and the LLE since 5 months.
Alleged H/O fall from steps 5 years back.

EXAMINATION :

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

5 mm thick T1 Weighted and STIR coronal images.

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

5 mm thick Proton density sagittal images.

5 mm thick T1 Weighted axial images.

8 mm thick T1 Weighted coronal images.

OBSERVATION :

There is evidence of a well-circumscribed lesion having a diameter of approximately 9.0 mms within the medial cortex of the neck of the left femur. This is of intermediate signal intensity on the T1 Weighted images.

There is a hyperintense signal on the T2 Weighted and STIR images in the neck and the upper shaft of the left femur. This is mildly hypointense to marrow on the T1 Weighted images.

The femoral head and the acetabulum reveal normal signal intensity bilaterally. 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 normal.

IMPRESSION :

A 9.00 mms diameter sized lesion within the medial cortex of the left femoral neck. An osteoid osteoma should be ruled out.

Altered signal in the left femoral neck may represent bone edema.


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