Date : 00.00.00
Name of the Patient : Abc Xylmn / M / 21 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in the left hip joint since January 0000 with a limp.
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.
Minimal fluid is seen in the left hip joint.
The femoral head and the acetabulum reveal normal signal intensity bilaterally. There is no obvious bony destruction or erosions noted. The articular cartilages are unremarkable. There is no effusion within the right hip joint.
The inferior part of the left sacro-iliac joint shows hypointense signal on the T1 Weighted images which turns hyperintense on the T2 Weighted images. The cortical margins adjacent to the joint appear fuzzy. There is also silght widening at this level (scans 105.1-105.5, 104.1-104.5).
The musculature surrounding both the hip joints and the visualized pelvis is normal.
1. Minimal fluid in the left hip joint is probably due to synovitis.
2. Altered signal in the left sacro-iliac joint inferiorly.
The possibility of a seronegative spondyloarthropathy should be excluded.