sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Khilalmn / F / 73 yrs.
Referred by : Dr. Abc Xyzapadia.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in the left hip since 20 days.
H/O fall 20 days back.
H/O left hip surgery for fracture 25 years back.

EXAMINATION :

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

5 mm thick T1 Weighted and STIR coronal images.

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

7 mm thick Proton density sagittal images.

OBSERVATION :

There is evidence of post-operative changes in the subcutaneous fat along the lateral aspect of the proximal left thigh. Susceptibility artifacts are noted in the region of the proximal shaft of the left femur, the result of previous surgery.

There is an ill-defined, hypointense signal on the T1 Weighted images in the neck and proximal shaft of the left femur. Probable break in continuity (? fracture) of the neck of the left femur is noted (scans 104.7 & 104.8). The head of the left femur shows an irregular margin. The articular cartilage around the left femoral head is not well-identified. Probable synovial hypertrophy is noted around the left hip joint. The left acetabulum is unremarkable. There is a small left hip joint effusion. Loosers zone is noted in the left pubic bone.
..2/.







Atrophy of the muscles is noted around the left hip joint.

The visualized right hip joint is unremarkable.

IMPRESSION :

1. Post-operative status.

2. Altered signal in the neck and proximal shaft of the left femur is not specific for a single etiology. These changes may either be due to a fresh fracture with bone edema (most likely) or may be due to previous surgery.

3. Slight irregularity of the contour of the left femoral head with ill-defined articular cartilage suggestive of degenerative changes.