Date : 00.00.00
Name of the Patient : Abc XyzDasulmn / M / 40 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of Both Hips and S. I. Joints.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE (right more than left).
M.R.I of both hips and S. I. joints were 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.
There is seen an ill-defined, hypointense signal on the T1 Weighted images in the right iliac bone adjacent to the right sacro-iliac joint, superiorly and posteriorly. This lesion remains hypointense on the T2 Weighted and STIR images. No obvious bone erosion or destruction is seen. No soft tissue lesion is identified around this lesion. The right sacro-iliac joint per se is unremarkable.
The left sacral and iliac bones and the sacro-iliac joints are unremarkable.
There is seen an ill-defined, hyperintense signal on the T2 Weighted and STIR images along the lateral margin of the roof of the acetabulum (scans 103.4 - 7). This lesion appears iso to hypointense to normal marrow on the T1 Weighted images. Ill-defined, hyperintense signal on the T2 Weighted and STIR images is also noted in the soft tissues along the posterior margin of the right hip joint (scans 105.14 - 17). Minimal fluid is noted in the right hip joint.
The right femoral head and neck show normal contour and signal intensity.
The visualized left hip joint is unremarkable.
1. Altered signal in the right iliac bone, posteriorly and superiorly, adjacent to the right sacro-iliac joint suggest sclerosis.
2. Altered signal along the lateral margin of the roof of the acetabulum and in the soft tissues along the posterior margin of the right hip joint is not specific for a single etiology. This most likely is degenerative in etiology with minimal reactive inflammatory changes along the posterior soft tissues. The possibility of an infective or a neoplastic lesion is less likely.