Date : 00.00.00

Name of the Patient : Abc XyzVlmn / M / 28 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O limp on the left side since 6 days.

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 axial images.
5 mm thick GRASS sagittal images.

OBSERVATION :

There is seen a well marginated, hypointense signal on the T1 Weighted images in the antero-superior quadrant of the left femoral head. This lesion appears heterogenously hyperintense on the STIR and GRASS images. Few hypointense areas are seen on the STIR and GRASS images. The lesion is demarcated from the rest of the femoral head by a hypointense rim on all the pulse sequences. Ill-defined, hyperintense signal on the STIR images in the neck of the left femur may represent bone edema. Slight loss of normal contour of the left femoral head is noted with slight irregularity of the overlying articular cartilage. The left acetabulum is unremarkable. There is minimal left hip joint effusion. Slight decrease in bulk of the muscles around the left hip joint is noted.

The visualized right hip joint is unremarkable.

IMPRESSION :

The MRI features suggest Class C & Class D avascular necrosis of the left femoral head.

The visualized right femur is unremarkable.