sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Slmn / M / 66 yrs.
Referred by : Dr. Abc Xyzlsara.
Examination : M.R.I. of Both Hips & Inguinal Region.

CLINICAL PROFILE :

C/O pain in the left groin since 6-7 months which has increased since 10 days.
H/O Ca of the right lung. Received 12 cycles of Chemotherapy.

EXAMINATION :

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

5 mm thick T1 Weighted and STIR coronal images.

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

7 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is an ill-defined, hyperintense signal on the T1 Weighted images along the roof of the left acetabulum, laterally. This lesion appears hypointense to the normal marrow on the T1 Weighted images. No obvious break in the cortex is noted.

A small approximately, 8.0 mm diameter sized well-marginated, hypointense lesion on the T1 Weighted images is noted at the junction of the head and neck of the left femur, posteriorly. This lesion appears hyperintense on the T2 Weighted and STIR images. There is no perilesional bone edema noted.

The femoral heads and the right acetabulum show normal contour. The articular cartilages are unremarkable. There is no effusion within both the hip joints.

The musculature surrounding both the hip joints are unremarkable.
..2/.







The visualized bones of the pelvis show fatty marrow changes which may suggests osteoporosis.

A small right inguinal hernia and mild prostatic enlargement is noted.

No other abnormality is detected in the visualized pelvis.

IMPRESSION :

1. Altered signal along the roof of the left acetabulum, laterally is not specific for a single etiology. This may represent marrow inhomogeneity, degenerative subchondral lesion or metastatis in the given clinical setting.

2. A small approximately, 8.0 mm diameter sized well-marginated lesion, at the junction of the head and neck of the left femur, posteriorly is also not specific for a single etiology, ? degenerative ?? bone cyst, ?? metastatis.

3. A small right inguinal hernia.