Date : 00.00.00
Name of the Patient : Abc Xyzotlmn / M / 28 yrs.
Referred by : Dr. Abc Xyzonawalla.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in the left hip joint since 15 days.
H/O Pulmonary Kochs since October 0000. On AKT since then.
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 axial images.
5 mm thick Proton density sagittal images.
There are hyperintense areas on the T1 Weighted images in the superior quadrant of the femoral heads bilaterally. These are seen to follow fat signal characteristics on all the pulse sequences. The double line sign is noted. Hypointense areas are seen on the T1 Weighted images within the neck of the left femur, which turns hyperintense on the T2 Weighted and STIR images. This would represent marrow edema.
There is no obvious bony destruction or erosions noted. The articular cartilages are unremarkable. Minimal fluid is noted in the left hip joint.
The musculature surrounding both the hip joints and the visualized pelvis is normal.
The MRI features are suggestive of Class A avascular necrosis of the femoral heads bilaterally, (Mitchells classification) with bone edema in the neck of the left femur.