Date : 00.00.00
Name of the Patient : Abc XyzMohd. Almn / F / 26 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in the right hip joint with limp since 1 1/2 years.
H/O fever and weight loss.
To r/o tuberculosis of the right hip joint.
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 sagittal images.
There is loss of normal contour of the right femoral head. Hypointense areas are seen within the head of the femur, neck, acetabular roof and iliac bone on the right side on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted and STIR images. There is slight irregularity and thinning of the articular cartilage. Effusion is seen within the right hip joint. There is spread of the pathology antero-inferiorly and medially with involvement of the pectineus and adductor muscles which show hyperintense signal on the T2 Weighted and STIR images and is slightly hyperintense to normal muscle on the T1 Weighted images.
The muscles around the right hip joint are atrophic as compared to the left.
The left femoral head and the acetabulum reveal normal signal intensity. There is no effusion within left hip joint.
The MRI features are suggestive of altered signal within the head of the femur, neck, acetabular roof and iliac bone on the right side with involvement of the pectineus and adductor muscles as described is most probably infective in etiology (? tuberculosis).