Date : 00.00.00
Name of the Patient : Abc Xyzav S. Ralmn / M / 4 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
Alleged H/O fall from a cycle on 00.00.00 with pain in the right hip and a limp 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 and T2 Weighted axial images.
5 mm thick Proton density sagittal images.
There is a subtle alteration (hypointensity) in the signal of the right epiphysis on the T1 Weighted images which appears isointense on the T2 Weighted and STIR images.
There are small hypointense areas within the epiphysis of the right femoral head superiorly and medially (se/im:104/6, 7) which are seen to remain hypointense on the T2 Weighted and STIR images. These are located peripherally within the epiphysis.
Minimal fluid is seen within the right hip joint.
The left 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 left hip joint.
The musculature surrounding both the hip joints and the visualized pelvis is normal.
Subtle alteration in the signal of the right epiphysis with foci of altered signal within the epiphysis is suggestive of early Legg - Calve - Perthes disease.