hs/ke
Date : 00.00.00

Name of the Patient : Abc Xyzra Jailmn / M / 25 yrs.
Referred by : Dr. Abc Xyzlwalkar.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain on the right side (hip bone to knee) since 15-20 days with difficulty in walking.
H/O Aplastic anemia with epilepsy since 2 years.

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 axial images (with fat saturation).

5 mm thick Proton density sagittal images.

OBSERVATION :

There is evidence of areas which are isointense to fat with a hypointense rim on all the pulse sequences within the femoral head bilaterally. This would suggests Class A avascular necrosis.

Areas of hypointensity on the T1 Weighted images which turn hyperintense on the T2 Weighted and STIR images are seen within the right acetabulum and the head and neck of the right femur. Fluid is noted within the right hip joint.

Hyperintense signal seen in the right gluteal region on the T2 Weighted and STIR images may be the result of an intramuscular injection.

There is no effusion within the left hip joint.
- 2 - Scan-00006


IMPRESSION :

The MRI features are suggestive of :

1. Class A avascular necrosis within the femoral head bilaterally.

2. Altered signal within the right acetabulum and the head and neck of the right femur with presence of fluid within the right hip joint. This may be the result of avascular necrosis or an infective process.