Date : 00.00.00
Name of the Patient : Abc Xyzraylmn / M / 55 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in the RLE with limp.
Alleged H/O fall in June 0000.
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.
7 mm thick Gradient sagittal images.
There is replacement of the normal marrow of the right iliac bone constituting the roof of the right acetabulum by hypointense areas on the T1 Weighted images which are seen to turn heterogeneously hyperintense on the T2 Weighted and STIR images. There is a suggestion of a break in the cortex laterally. There is a hyperintense signal on the T2 Weighted and STIR images in the right ilio-psoas muscle and adductor group of muscles on the right side. Subtle altered signal is also noted in the right gluteal subcutaneous region. There is effusion within the right hip joint. The left hip joint is unremarkable.
There is no free fluid in the pelvis.
The MRI features are suggestive of altered signal in the right iliac bone (roof of the right acetabulum) and in the muscles in the pelvic region on the right as described and effusion in the right hip joint. These changes are not specific for a single etiology.
An infective/inflammatory pathology is a likely possibility. The possibility of a neoplasm or transient osteoporosis seems less likely.
A biopsy from the lesion in the right acetabular roof would be worthwhile.