sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyzn lmn / F / 60 yrs.
Referred by : Dr. Abc XyzR. Shah.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in left pubic area and hip region and LLE with numbness since 4-6 months which has increased since 1 month.
H/O fall 3 months ago.

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.

5 mm thick GRASS sagittal images.

OBSERVATION :

The pubic symphisis appears slightly irregular and shows marginal osteophytosis which may suggest osteitis pubis. The adjacent pubic bones show a hypointense signal on all pulse sequences suggesting sclerosis.

There is an ill-defined, hypointense signal on the T1 Weighted images in the right sacrum and iliac bones adjacent to the right sacro-iliac joints, inferiorly. This lesion appears hyperintense on the STIR images. The right sacro-iliac joint space per se is unremarkable.

The visualized hip joints on either side are also unremarkable. No hip joint effusion is noted.

Sacralization of the L5 vertebra is noted on the left.

The visualized pelvic musculature is unremarkable.
..2/.







IMPRESSION :

1. Osteitis pubis.

2. Altered signal sacrum and iliac bones adjacent to the right sacro-iliac joint, inferiorly, is not specific for a single etiology. This may suggest sacro-ilitis or may be post-traumatic in etiology.

3. Sacralized L5 vertebra on the left.