Date : 00.00.00
Name of the Patient : Abc Xyzra lmn / M / 45 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in both the hips since 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 (with fat saturation) axial images.
5 mm thick Proton density sagittal images.
There is seen a well marginated, slightly hypointense lesion (when compared to normal marrow) on the T1 Weighted images in the superior quadrant of the left femoral head. This lesion remains hypointense on all the pulse sequences and is demarcated from the rest of the femoral head by a peripheral hypointense rim on all the pulse sequences. The left femoral head shows normal contour. The articular cartilage overlying the left femoral head and the left acetabulum are unremarkable. There is no left hip joint effusion.
The visualized right femoral head, right acetabulum and the right hip joint per se are unremarkable.
Fluid collection is seen in the pelvis and this would require further evaluation.
There is an ill-marginated hypointense lesion on all the pulse sequences at the junction of the femoral head and neck on either side. No obvious cortical erosion or perilesional bone edema is noted.
1. Altered signal in the left femoral head suggest Class D avascular necrosis of the left femoral head.
2. Altered signal at the junction of the head and neck of the femora on either side suggest sclerosis. The etiology of these sclerotic lesions is not specific for a single diagnosis. Compressed trabeculae due to stress fractures may be considered as a differential diagnosis.