Date : 00.00.00
Name of the Patient : Abc Xyzji lmn / M / 62 yrs.
Referred by : Dr. Abc Xyzengsarkar.
Examination : M.R.I. of the Left Tibia.
CLINICAL PROFILE :
C/O limp and pain in the left one third leg since 10-15 days.
M.R.I. of the left tibia was performed using the following parameters :
4 mm thick T1 Weighted and STIR coronal images.
3 mm and 5 mm thick T1 Weighted sagittal images.
3 mm thick T1 Weighted and T2 Weighted axial images.
There are multiple irregularly defined areas of hypointensity on the T1 Weighted images which turn heterogeneously hyperintense on the STIR and T2 Weighted images within the medullary cavity of the entire left tibia. Few of these areas are mildly hyperintense on the T1 Weighted images. There is slight irregularity of the endosteum and also seen is slight periosteal reaction. A hyperintense signal is seen within the soft tissues adjacent to the tibial shaft on the T1 Weighted and STIR images and this may represent edema.
Endosteal irregularity is also noted in the left fibula.
The visualized lower femur shows normal signal intensity. There is no obvious bony destruction or erosion.
- 2 - Scan-00000
The MRI features are suggestive of a pathologic process within the medullary cavity of the entire left tibia
as described and is not specific for a single etiology. This most probably suggests fibrous dysplasia.
The possibilities of these being a neoplastic or an infective process cannot be ruled out entirely.