Date : 00.00.00

Name of the Patient : Abc XyzD. Plmn / M / 20 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in the LLE since 15 days.

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 (with fat saturation) images.
5 mm thick Proton density sagittal images.

OBSERVATION :

There is slight expansion of the neck of the left femur. A large mass lesion is seen in the neck and the upper shaft of the left femur in the region of the lesser trachantor which measures approximately 6.1 x 3.5 x 3.0 cms. This lesion is hypointense to the normal marrow on the T1 Weighted images and turns heterogeneously hyperintense on the T2 Weighted and STIR images. There is a suspicious break in the medial cortex of the neck of left femur. A sclerotic rim, which is hypointense on all the pulse sequences is noted around the lesion.

The right hip joint is unremarkable.

The musculature surrounding both the hip joints and the visualized pelvis is normal.

IMPRESSION :

The MRI features are suggestive of a slightly expansile mass lesion in the neck and the upper shaft of the left femur measuring approximately 6.1 x 3.5 x 3.0 cms as described. The differential diagnosis would include,

1. Mono-ostotic fibrous dysplasia.
2. Giant cell tumor.
3. Chondroblastoma.
4. Chondromyxoid fibroma.