Date : 00.00.00
Name of the Patient : Abc Xyzra Mlmn / M / 45 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in the RLE since 2-3 months.
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.
There is evidence of a small, approximately 5.0 mms diameter sized hypointense lesion on the T1 Weighted images in the subcortical region along the anterior margin of the neck/base of the head of the right femur. This lesion appears hyperintense on the T2 Weighted and STIR images. No obvious cortical erosion or bone destruction is noted. A small right hip joint effusion is noted. The right femoral head shows normal contour. The right acetabulum and the articular cartilage overlying the right femoral head are unremarkable.
The visualized left hip joint is unremarkable, except for the minimal fluid in the left hip joint space.
Muscles around the hip joints on either side are unremarkable.
Screening, T1 Weighted sagittal images of the lumbar spine reveal small, postero-central protruded discs at the L4-L5 and L5-S1 levels.
1. A 5.0 mms diameter sized lesion in the subcortical region at the neck/base of the head of the right femur, along its anterior margin, as described most likely represents a femoral herniation pit (? subchondral cyst).
2. A small right hip joint effusion.