Date : 00.00.00
Name of the Patient : Abc Xyza B. Dlmn / F / 45 yrs.
Referred by : Dr. Abc Xyzoregaonkar.
Examination : M.R.I. of the Right Femur.
CLINICAL PROFILE :
C/O pain in the RLE with paresthesias since 1 month.
H/O Pulmonary kochs since 6 months. On AKT since then.
M.R.I. of the right femur was performed using the following parameters :
3 mm thick STIR and GRASS coronal images.
4 mm thick T1 Weighted and Proton density sagittal images.
5 mm thick T1 Weighted axial images.
There is a well-defined hypointense signal in the subcapital region of the right femur involving both cortices on the T1 Weighted images. This lesion remains hypointense to normal marrow signal on the T2 Weighted and Fast Scan (T2 *) images. There is surrounding edema.
There is seen a linear hypointense signal on all the pulse sequences in the proximal shaft of the right femur approximately 3.5 cms inferior to the lesser trochanter involving both cortices and the medulla. Mild periosteal thickening is noted in that region along the medial margin of the right femur. There is also surrounding edema.
Minimal fluid is noted in the right hip joint.
The right acetabulum is unremarkable. The right femoral head shows normal contour.
1. Areas of altered signal in the subcaptial region of the right femur is most likely the result of a fracture (? stress induced) with surrounding edema.
2. Altered signal in the proximal shaft of the right femur approximately 3.5 cms inferior to the lesser trochanter may also represent a fracture.
The possibility of these representing Loosers zone may also be considered in the differential diagnosis.