sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyza P. Glmn / F / 13 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in the right hip region with limp on the right side since 2 months.

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 T1 Weighted sagittal images.

OBSERVATION :

There is an ill-defined, hypointense focus on the T1 Weighted images in the epiphysis of the right femoral head (scan 102.8). This lesion appears hyperintense on the T2 Weighted and STIR images. The right femoral head shows normal contour.

The left femoral head and the acetabulum reveal normal signal intensity. There is no obvious bony destruction or erosions noted. The articular cartilages are unremarkable. There is no effusion within both the hip joints.

The musculature surrounding the right hip joint appears atrophied as compared to the left. The visualized pelvis is normal.

IMPRESSION :

Focal altered signal in the epiphysis of the right femoral head is not specific for a single etiology.

Early osteonecrosis of the right femoral epiphysis is a likely possibility. The possibility of an infective etiology is less likely.