ke/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzh Banlmn / M / 27 yrs.
Referred by : Dr. Abc Xyzodak.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in the RLE since 3-4 months with fever.
H/O fall from a scooter in January 0000.
H/O AKT for pulmonary kochs since October 0000.

EXAMINATION :

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

6 mm thick T1 Weighted and STIR coronal images.

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

OBSERVATION :

There is partial collapse of the right femoral head. There is replacement of the normal marrow of the right femoral head, neck and the upper shaft as well as the greater and lesser trochanter by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted and STIR images. The right hip joint space is involved with involvement of the acetabular roof. The pathologic process is seen to involve the pectineus, obturator externus and the adductor group of muscles on the right side which shows hyperintense signal on the T2 Weighted and STIR images. The gluteus maximus muscle also shows subtle hyperintense signal on the T2 Weighted images suggestive of its involvement. Effusion is noted within the right hip joint space.






There is atrophy of the muscles surrounding the right hip joint.

Enlarged inguinal lymph nodes are noted bilaterally.

The left hip joint is unremarkable.

IMPRESSION :

In a known C/O pulmonary kochs, the MRI features are suggestive of an infective pathology involving the head, neck, upper shaft of the right femur, the right acetabulum and muscles around the right hip joint as described.