Date : 00.00.00
Name of the Patient : Abc Xyzr lmn / M / 13 yrs.
Referred by : Dr. Abc Xyzonawala.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in both hip joints with inability to walk and sit since 6 months.
EXAMINATION :
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.
OBSERVATION :
There is an ill-defined, hypointense signal on the T1 Weighted images in the neck and proximal shaft of the right femur. This lesion appears hyperintense on the T2 Weighted and STIR images. No bone erosion or destruction is noted.
Similar signal intensity changes are noted in the sacrum and iliac bones adjacent to the left sacro-iliac joint, inferiorly.
The epiphysis of the femoral heads are unremarkable on either side. The acetabulum are normal bilaterally. There is no obvious bony destruction or erosions noted. The articular cartilages are unremarkable. Minimal fluid is noted in the right hip joint.
The musculature surrounding both the hip joints and the visualized pelvis is normal.
IMPRESSION :
Altered signal in the neck and proximal shaft of the right femur
and adjacent to the left sacro-iliac joint, inferiorly
is not specific for a single etiology. These changes may represent transient osteoporosis. The possibility of an inflammatory/infective osteitis with sacro-ilitis may be
considered as a differential diagnosis.
A follow up scan is recommended.