sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzChaurlmn / F / 11 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in the right hip joint since 1 year with a limp and inability to bend RLE.

EXAMINATION :

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

6 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 and T2 Weighted (with fat saturation) sagittal images.

OBSERVATION :

There is seen an expansile lesion in the right ischial bone, which appears hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images. Probable fracture to the right ischial bone is noted. There is thickening of the synovium of the right hip joint with a right hip joint effusion. There is slight loss of normal contour of the right acetabulum. The epiphysis of the right femoral head is slightly hypointense on the T1 Weighted images. The trochanters and the neck of the right femur show normal signal intensity. The articular cartilage overlying the right femoral head is unremarkable. Minimal extension of the right ischial lesion is noted along the right lateral pelvic wall. There is slight decrease in the bulk of the muscles around the right hip joint.



The visualized left hip joint is unremarkable.

Small, subcentimeter inguinal lymph nodes are noted bilaterally.

IMPRESSION :

Slightly expansile right ischial bone with altered signal and a probable fracture through it is not specific for a single etiology. An infective lesion (probably tuberculous) is a likely possibility in view of the associated synovitis and right hip joint effusion.

A neoplastic process cannot be entirely excluded.