Date : 00.00.00
Name of the Patient : Abc Xyz Vinlmn / F / 11 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
H/O fall 15 days back with injury to the right hip region.
C/O pain in the right hip region and RLE with 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 (with fat saturation) axial images.
5 mm thick Proton density sagittal images.
There is evidence of a pelvic tilt to the right.
There is an ill-defined, hyperintense signal on the T2 Weighted and STIR images in the right obturator externus muscle and in the right gluteus medius and minimus muscles. This signal appears nearly isointense to normal muscle on the T1 Weighted images. The muscles around the right hip joint appear atrophied as compared to the left.
The epiphysis of the femoral heads 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 in the left hip joint.
Minimal fluid is noted in the right hip joint.
Altered signal in the right obturator externus muscle and in the right gluteus medius and minimus muscles as described is not specific for a single etiology. This changes may be the sequelae of previous trauma, in the given clinical setting. Atrophy of the musculature around the right hip joint is also noted as compared to the left.
No bony lesion is identified.