Date : 00.00.00
Name of the Patient : Abc Xyzsh lmn / M / 25 yrs.
Referred by : Dr. Abc Xyzapadia.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in the left hip joint since 2 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 axial images.
5 mm thick Gradient sagittal images.
The pelvis is tilted towards right.
There is loss of normal contour of the left femoral head which shows hypointense areas in its superior portion on the T1 Weighted images and which appears heterogeneously hyperintense on the T2 Weighted and STIR images. Hyperintense areas are seen in the remaining portion of the femoral head on the T1 Weighted images which turn hypointense on the STIR images and represent fatty changes. There is irregularity and thinning of the articular cartilage overlying the left femoral head. The acetabular margins are also irregular. Subtle hyperintense areas are seen in the roof of the acetabulum on the left side which may represent edema. There is reduction in the left hip joint space. The muscles around the left hip joint are atrophied. Marginal osteophytes are noted around the left hip joint. There is no joint effusion.
The right hip joint is unremarkable.
1. Tilting of the pelvis towards right.
2. Class C avascular necrosis (Mitchells classification) involving the left femoral head as described.
3. Secondaries osteoarthritis in the left hip joint.