Sunday, 27 December 2015 16:48

14738

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Date : 00.00.00

Name of the Patient : Abc XyzVilmn / M / 48 yrs.
Referred by : Dr. Abc Xyzapadia.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in the region of the left hip since 1 month.

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 (with fat saturation) axial images.

5 mm thick Proton density sagittal images.

OBSERVATION :

There is seen a well marginated region in the anterior and superior quadrants of the left femoral head which follows fat signal characteristics on all the pulse sequences. This area is demarcated from the rest of the femoral head by a hypointense rim on all the pulse sequences (double line sign). Ill-defined hyperintense signal on the T1 Weighted and STIR images in the rest of the left femoral head and neck represents bone edema. There is a small left hip joint effusion. The left acetabulum is unremarkable.

The articular cartilages around the left femoral head is unremarkable. The soft tissues around the left hip joint are unremarkable.

The visualized right hip joint is unremarkable.

IMPRESSION :

The MRI features are suggestive of Class A avascular necrosis of the left femoral head with bone edema in the head and neck of left femur.

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