Date : 00.00.00
Name of the Patient : Abc XyzHilmn / M / 47 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in the left hip on walking and standing since 4-5 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 (with fat saturation) axial images.
5 mm thick T1 Weighted sagittal images.
There are well-marginated geographical areas in the femoral heads on either side which follow fat signal characteristics on all the pulse sequences. These lesions are separated from the normal marrow signal by a hypointense signal on all the pulse sequences. The double line sign is well-visualized. The neck of the left femur shows an ill-defined hyperintense signal on the T2 Weighted and STIR images which may represent bone edema.
Mild effusion is noted within the left hip joint.
The femoral heads on either side show normal contour.
The acetabulum reveal normal signal intensity bilaterally. The articular cartilages are unremarkable. There is no effusion within the right hip joint.
The musculature surrounding both the hip joints is normal.
Excessive fat is noted in the visualized pelvis, ?? pelvic lipmatosis.
The MRI features suggest Class A avascular necrosis of the femoral heads on either side. Edema is noted in the neck of the left femur.