ke/sb
Date : 00.00.00

Name of the Patient : Abc Xyz Calmn / M / 28 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of Pelvis & Both Hips.

CLINICAL PROFILE :

C/O pain right hip and difficulty in walking since 1 month.

EXAMINATION :

M.R.I of pelvis & 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.

5 mm thick GRASS sagittal images.

OBSERVATION :

There is loss of normal contour of the right femoral head. There is a well-marginated, hyperintense area on the T1 Weighted images in the antero-superior quadrant of the right femoral head. This lesion appears hypointense on the T2 Weighted and STIR images (follows fat signal) and represents an area of avascular necrosis. A hypointense signal on all the pulse sequences is also noted in the right femoral head, which may represent an area of sclerosis. Perilesional, ill-defined, hyperintense signal on the T2 Weighted and STIR images in the head and neck of the right femur may represent bone edema. A small right hip joint effusion is noted. The atricular cartilage overlying the right femoral head is slightly irregular. The right acetabulum is unremarkable. Slight decrease in bulk of the muscles around the right hip joint is noted.

A focal, fat signal intensity lesion on all the pulse sequences is also noted in the anterior quadrant of the left femoral head. Perilesional bone edema is noted. The left femoral head shows normal contour. The left acetabulum is unremarkable. Small, left hip joint effusion is noted.
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- 2 - scan-00000

IMPRESSION :

1. Altered signal in the head of right femur suggests class A and Class D avascular necrosis of the right femoral head. Small joint effusion is noted.

2. Class A avascular necrosis of left femoral head. Small joint effusion is noted.