hs/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzR. Inspelmn / M / 47 yrs.
Referred by : Dr. Abc Xyznshah.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in the region of the left hip.
Patient is taking steroids.

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 evidence of an area which is hyperintense on all the pulse sequences within the left femoral head and is surrounded by a hypointense rim. Also seen are areas of hypointensity on the T1 Weighted images which turn hyperintense on the T2 Weighted and STIR images within the left femoral head and may represent bone edema. There is slight irregularity of the contour of the left femoral head. A left hip joint effusion is also noted.

An area which is isointense to fat on all the pulse sequences is seen within the right femoral head. It is surrounded by a hypointense rim on all the pulse sequences with an inner hyperintense signal on the T2 Weighted and STIR images suggestive of a double line sign. The contour of the right femoral head is well maintained.
Scan-00005


Fatty changes are noted within the acetabulum bilaterally.

There is a small left hip joint effusion.

IMPRESSION :

The MRI features are suggestive of Class B avascular necrosis involving the left femoral head and Class A avascular necrosis involving the right femoral head (Mitchells classification).