Date : 00.00.00
Name of the Patient : Abc Xyz Kathlmn / F / 45 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in BLE since 3 months.
H/O pulmonary kochs 1 year back. Received AKT.
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 Density sagittal images.
There are hyperintense areas with a hypointense rim on all the pulse sequences within both the femoral heads and this would suggest Class C avascular necorsis. Also seen are hypointense areas on the T1 Weighted images which turn hyperintense on the T2 Weighted and STIR images adjacent to these lesions within both femoral heads and neck and would represent edema.
There is irregularity of both the femoral heads and also of the overlying articular cartilage.
Effusion is seen within both the hip joints.
Excessive pelvic fat is noted.
The MRI features are suggestive of Class C avascular necrosis involving both the femoral heads.
Excessive pelvic fat may suggest pelvic lipomatosis.