ke/sb
/77 Date : 00.00.00

Name of the Patient : Abc XyzDeshplmn / M / 30 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

H/O fall on 00.00.00 with twist of the LLE.
C/O pain in the left hip region and inner thigh since then.

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 evidence of a fracture through the neck of the left femur.

Ill-defined, hypointense areas are seen within the marrow of the neck and the upper shaft of the left femur on the T1 Weighted images which are seen to turn heterogeneously hyperintense on the T2 Weighted and STIR images. The adjacent soft tissue also shows subtle hyperintense signal on the STIR images. Relative sparing of the head of the left femur is noted. Effusion is seen within the left hip joint.








There is involvement of the left iliopsoas, obturator externus and the quadratus femoris muscles which appear hyperintense on the T2 Weighted images. The muscles around the left hip joint appear atrophied as compared to the right. The left acetabulum is unremarkable.

The right femoral head and the acetabulum reveal normal signal intensity. The articular cartilages are unremarkable. There is no effusion within right hip joint.

IMPRESSION :

1. Fracture neck of the left femur, most likely a pathological fracture.

2. Altered signal within the neck and upper shaft of the left femur is not specific fot a single etiology. A neoplasm like a round cell tumor is a likely possibility. An infective pathology seems less likely. The possibility of the marrow changes representing only post fracture bone edema is also less likely.

3. Effusion within the left hip joint.