Sunday, 27 December 2015 16:48

15006

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sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzanu lmn / F / 35 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in the right hip since 10 years with a limp.
H/O tuberculosis of the right hip 10 years back. Received AKT.

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 loss of normal contour of the right femoral head which appears to be subluxed supero-laterally. There is reduction of the right hip joint space. The articular cartilage around the right femoral head appears irregular with evidence of subchondral pits in the right femoral head and the right acetabulum. Marginal osteophytes are noted around the right femoral head and the right acetabulum.

There is an ill-defined, hyperintense signal in the region of the neck of the right femur which appears iso to hypointense to normal marrow on the T1 Weighted images. The muscles around the right hip joint appears atrophied when compared to the left.

The visualized left hip joint is unremarkable.

IMPRESSION :

Changes in the right hip joint suggests secondary osteoarthritis, probably a result of the previous infective/inflammatory arthritis.


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