hs/sb/rg.
Date : 00.00.00

Name of the Patient : Abc XyzThlmn / F / 28 yrs.
Referred by : Dr. Abc Xyzaubal.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in the left hip joint since 5 months.

EXAMINATION :

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

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

5 mm thick T1 Weighted and STIR coronal images.

5 mm Proton Density sagittal images.

OBSERVATION :

There is evidence of an area of hypointensity on the T1 Weighted images which turns hyperintense on the STIR and T2 Weighted images within the left femoral head. This is surrounded by a hypointense rim on all the pulse sequences. A small effusion is seen in the left hip joint. There is slight irregularity of the left femoral head.

An area which is isointense to fat on all the pulse sequences is seen in the antero-superior aspect of the right femoral head. It is also surrounded by a hypointense rim on all the pulse sequences. There is no right hip joint effusion.

The muscles around the hip joints are unremarkable.

A cystic lesion (hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images and STIR images) is seen in the right adnexal region (? ovarian cyst).


IMPRESSION :

The MRI features are suggestive of :

1. Class C avascular necrosis involving the left femoral head.

2. Class A avascular necrosis involving the right femoral head.