Date : 00.00.00
Name of the Patient : Abc Xyz. lmn / F / 40 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in the right hip and thigh since 6 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 is a hypointense signal in the antero-superior aspect of the head of the right femur on the T1 Weighted images. This is seen to turn heterogeneously hyperintense on the T2 Weighted and STIR images.
A hypointense area is seen in the antero-superior portion of the head of the left femur on the T1 Weighted images and is seen to remain so on the T2 Weighted and STIR images.
A hypointense area is seen in the acetabular roof (se/im. 104/6 & 105/6) on the T1 Weighted images and which is seen to turn hyperintense on the STIR images and which may represent a degenerative cyst.
The articular cartilages are unremarkable. There is no effusion within both the hip joints.
The musculature surrounding both the hip joints and the visualized pelvis is unremarkable.
The MRI features are suggestive of :
1. Class C avascular necrosis (Mitchels classification) of the right femur with a probable degenerative cyst in the acetabulum as described.
2. Class D avascular necrosis (Mitchels classification) of the