ke/bv
Date : 00.00.00

Name of the Patient : Abc Xyz.lmn / F / 28 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Right Thigh.

CLINICAL PROFILE :

C/O pain in the right thigh since 1 year.

EXAMINATION :

M.R.I. of the right thigh was performed using the following parameters:

8 mm thick T1 Weighted and T2 Weighted axial images.

8 mm thick STIR and T2 Weighted coronal images.

4 mm thick Proton sagittal images.

OBSERVATION :

There is replacement of the normal marrow in the upper shaft of the right femur from the level of the lesser trochanter till the mid shaft level (approximately 11.0 cms in length) by hypointense areas on the T1 Weighted images. This is seen to turn hyperintense on the T2 Weighted and STIR images. There is a break in the cortex along the medial aspect (se/im 104/10) with extension of the pathologic process just below the periosteum with resultant elevation of the same. Subtle hyperintense signal seen in the adjacent soft tissue on the T2 Weighted images may represent edema. The rest of the right femur and the left femur is unremarkable.








IMPRESSION :

The MRI features are suggestive of altered signal in the upper shaft of the right femur from the level of the lesser trochanter till the mid shaft level (approximately 11.0 cms) with break in the cortex and smooth periosteal reaction as described.

This most likely represents sclerosing osteomyelitis of Garre.

The possibility of a neoplastic process appears less likely.