Date : 00.00.00
Name of the Patient : Abc Xyz lmn / M / 17 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O wasting of the RLE since 15 months.
H/O fever prior to this.
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 is loss of normal contour of the right femoral head. Subtle hypointense areas are seen in the right femoral head on the T1 Weighted images which are seen to remain hypointense with few areas turning hyperintense on the T2 Weighted and STIR images. There is a well-defined lesion seen in the right femoral head in the region of the epiphysis which is hypointense on the T1 Weighted images and turns hyperintense on the T2 Weighted images (se/im 104/9, 103/9). There is thinning of the articular cartilage overlying the right femoral head. A subchondral cyst is seen in the femoral head. The acetabulum is unremarkable. Effusion is seen within the right hip joint. The muscles surrounding the right hip joint appear atrophic as compared to the left. The left hip joint is unremarkable.
The right ischial tuberosity appears markedly hypointense on the T1 Weighted images and shows mixed signal characteristics on the T2 Weighted images and is of indetermined etiology.
The MRI features are suggestive of altered signal of the right ischium and right femoral head with degenerative changes and mild effusion ? secondary osteoarthritis.
Spondyloarthropathy should be ruled out.