Date : 00.00.00
Name of the Patient : Abc Xyzee Blmn / F / 29 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O backache radiating to the LLE (left hip painful) since 1 year.
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.
There is an ill-defined, hyperintense signal on the T2 Weighted and STIR images involving the head and neck of the left femur.
This lesion appears hypointense to normal marrow on the T1 Weighted images. A suspicious linear hypointense signal is visualized in the subcapital region (scans 102.10, 105.10. 105.9, 104.10, 104.9). The head of the left femur shows normal contour The proximal shaft of the left femur shows normal signal intensity. The left acetabulum and the articular cartilage overlying the left femoral head are unremarkable. Minimal fluid is noted in the left hip joint.
The visualized right hip joint is unremarkable.
There is atrophy of the muscles around the right hip joint and in the proximal right thigh and of the left gluteal muscles.
- 2 - scan-00008
1. Altered signal in the head and neck of the left femur as described is not specific for a single etiology. This most likely represents a stress fracture.
The possibility of transient osteoporosis of the left hip or early AVN seems less likely.
2. Atrophy of the muscles around the right hip joint and in the proximal right thigh and of the left gluteal muscles.