ke/bv
Date : 00.00.00

Name of the Patient : Abc Xyzrilmn / F / 34 yrs.
Referred by : Dr. Abc Xyzaubal.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O backache radiating to the LLE since 1 year.

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 axial images.
5 mm thick Proton density sagittal images.

OBSERVATION :

There is a well-marginated, hyperintense lesion on the T1 Weighted images in the antero- superior quadrant of the left femoral head. This lesion is supressed on the T2 Weighted and STIR images. A peripheral rim on all the pulse sequences is noted around this lesion. There is a small left hip joint effusion. The left femoral head shows normal contour. The left acetabulum is
unremarkable.

A similar, but smaller lesion is noted in the right femoral head, antero-superiorly. The right femoral head shows normal contour.

The double line sign is well identified in both the hip joints.

A focal hypointense signal on all the pulse sequences in the right iliac bone adjacent to the right S.I. Joint is a bone island. The S.I. Joint on either side are otherwise unremarkable.

Scar of the previous surgery is noted in the anterior abdominal wall. The muscles around the left hip joint are atrophic.

IMPRESSION :

The MRI features suggest Class A avascular necrosis of the femoral heads bilaterally. A small left hip joint effusion is noted.

As compared to the previous MRI (study no:0000) dated 00.00.00, there is no significant change noted.