sb.ke.rg.






Name of the Patient : Abc XyzShlmn / M / 18 yrs.
Referred by : Dr. Abc Xyzance.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

Known C/O kochs in the left hip region since January 0000.
On AKT since then.

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 (with fat saturation) axial images.

5 mm thick GRASS sagittal images.

OBSERVATION :

There is seen an ill-defined, hypointense signal on all the pulse sequences in the left ischial tuberosity and in the left inferior pubic ramus, with thickening of its cortex. No obvious associated soft tissue is noted. Minimal similar signal change is noted in the ischial component of the left acetabulum. Minimal fluid is noted in the left hip joint. The head, neck and proximal shaft of the left femur are otherwise unremarkable. The articular cartilage overlying the left femoral head is unremarkable.

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.

No abnormally enlarged pelvic lymphnodes are noted.
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A probable right sided tunica vaginalis hydrocele is noted which may be further investigated, if clinically indicated.

IMPRESSION :

Altered signal in the left ischial tuberosity, left inferior pubic ramus and in the ischial component of the acetabulum as described suggests sclerotic changes most likely the sequelae of previous infection. Minimal fluid is noted in the left hip joint which is otherwise unremarkable.

As compared to the previous MRI dated 00.00.0000, there is significant resolution of the previously identified lesion around the left hip joint.