ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzlmn / M / 39 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in the right hip since 1 month.
H/O ? transient osteoporosis on the left side in 0000. Recovered.

EXAMINATION :

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 T1 Weighted sagittal images.

OBSERVATION :

There is an ill-defined, hypointense area on the T1 Weighted images in the supero-lateral aspect of the head of the right femur and the neck. This is seen to turn heterogeneously hyperintense on the T2 Weighted and STIR images. Minimal effusion is seen within the right hip joint.

The left femoral head and the acetabulum bilaterally reveal normal signal intensity. There is no obvious bony destruction or erosions noted. The articular cartilages are unremarkable.

The musculature surrounding both the hip joints and the visualized pelvis is normal.

IMPRESSION :

The MRI features are suggestive of altered signal intensity
in the supero-lateral aspect of the head of the right femur and the neck as described with minimal effusion in the right hip joint. These changes are not specific for a single etiology. This lesion most likely represents transient ischemic osteoporosis. The possibility of an infective process is less likely.

A follow up scan is indicated.