Date : 00.00.00
Name of the Patient : Abc Xyzhar Almn / M / 54 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in the LLE (upto the knee) with backache since 7 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.
There is a large area of hypointensity on the T1 Weighted images which turns heterogeneously hyperintense on the T2 Weighted and STIR images within the left sacral ala and iliac wing on the left side with probable involvement of the left sacro-iliac joint. There is mild extension into the soft tissues anteriorly.
Smaller areas with similar signal characteristics are noted within the left acetabulum, left iliac wing, sacral vertebral bodies, both ischial tuberosities and the L5 vertebral body.
The hip joints per se are unremarkable.
There is slight enlargement of the prostate gland.
- 2 - scan-00009
The MRI features are suggestive of multiple lesions involving the
sacrum, L5 vertebra, left iliac wing, left acetabulum and
both ischial tuberosities. This is not specific for a single diagnosis.
The differential diagnosis would include,
a. Small cell tumors.
c. Infective process like multifocal tuberculosis.