Displaying items by tag: necrosis

sb/bv Date : 00.00.00

Name of the Patient : Abc Xyzo V. Tlmn / M / 46 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in the left hip joint.
H/O steroids intake for 10 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 and T2 Weighted axial images.

5 mm thick Proton density sagittal images.

OBSERVATION :

There is loss of normal contour of the left femoral head.

There is an ill-defined, predominantly hypointense intermediate signal intensity lesion on the T1 Weighted images in the anterior and superior quadrants of the head of the left femur. This lesion appears predominantly hyperintense on the T2 Weighted and STIR images. This lesion is well demarcated from the neck of the left femur and represents Class B/C avascular necrosis of the femoral head. The double line sign is well-identified in the left femoral head. The left femoral neck shows an ill-defined hyperintense signal on the T2 Weighted and STIR images suggesting bone edema. The articular cartilage overlying the left femoral head is not well-defined. The left acetabulum is unremarkable. There is a small left hip joint effusion. Slight decrease in bulk of the muscles around the left hip joint is noted, when compared to the right.

The visualized right hip joint is unremarkable except for minimal fluid in the right hip joint.
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IMPRESSION :

The MRI featrures are suggestive of Class B/C avascular necrosis of the left femoral head.