Date : 00.00.00
Name of the Patient : Abc Xyza Panchmlmn / F / 19 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of Both Hips & S. I. Joints.
CLINICAL PROFILE :
C/O pain in the region of the left hip joint since 00.00.00.
M.R.I of both hips and S. I. joints was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
5 mm thick T1 Weighted and STIR coronal images.
There is an ill-defined hypointense signal on the T1 Weighted images in the left iliac bone adjacent to the left sacro-iliac joint. This signal appears hyperintense on the T2 Weighted and STIR images. Similar but subtle signal change is also noted in the sacral component of the sacro-iliac joint, inferiorly. Minimal fluid is noted in the left sacro-iliac joint. No obvious bone erosion/destruction is noted. Minimal effacement of the fat plane along the anterior and inferior margin of the left sacro-iliac joint is noted.
The right sacro-iliac joint and hip joints on either side are unremarkable.
Probable sacralization of the L5 vertebra is noted.
Altered signal of the iliac and sacral bones adjacent to the left sacro-iliac joint suggest sacro-ilitis, ? infective ? inflammatory in etiology.
The possibility of a neoplasm seems likely.