sb/bv
Date : 00.00.00

Name of the Patient : Abc Xyz D. lmn / M / 38 yrs.
Referred by : Dr. Abc Xyzpital.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in both hip joints (left more than right).

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.

5 mm thick Proton density sagittal images.

OBSERVATION :

There is loss of normal contour of the femoral heads on either side.

There is an ill-defined, hypointense signal on the T1 Weighted images in the head of the left femur. This lesion remains hypointense on the T2 Weighted and STIR images and represents sclerosis. This lesion is well demarcated from the neck of the left femur and represents Class D avascular necrosis of the femoral head. The left femoral neck shows an ill-defined hyperintense signal on the T2 Weighted and STIR images suggesting bone edema. The articular cartilage overlying the left femoral head is not well-defined. Marginal osteophytes are noted around the left acetabulum which is otherwise unremarkable. There is a small left hip joint effusion with probable synovial thickening around the left hip joint. Slight decrease in bulk of the muscles around the left hip joint is noted, when compared to the right.

There is an ill-defined, heterogeneous signal in the right femoral head which is hypointense and hyperintense to normal marrow on the T1 Weighted and T2 Weighted images. This suggests Class
B/Class C avascular necrosis of the right femoral head. The right femoral neck shows an ill-defined hyperintense signal on the T2 Weighted and STIR images suggesting bone edema. The articular cartilage overlying the right femoral head is not well-defined. Marginal osteophytes are noted around the right acetabulum which is otherwise unremarkable. There is a small right hip joint effusion with probable synovial thickening around the right hip joint.
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IMPRESSION :

1. Class D avascular necrosis of the left femoral head.

2. Class B/Class C avascular necrosis of the right femoral head.