Name of the Patient : Abc Xyz Mlmn / M / 33 yrs.
Referred by : Dr. Abc Xyzehta / Dr. Abc Xyzra.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in the region of the right hip joint.
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.
Areas of hypointensity on the T1 Weighted images which turn heterogeneously hyperintense on the T2 Weighted and STIR images are seen to involve the acetabulum and ischial tuberosity on the right side. There is erosion of the cortex of the posterior column of the right acetabulum with extension of the pathologic process into the adjacent soft tissues.
There is involvement of the superior gemellus muscle and ischio-femoral ligament on the right side. Also seen is slight involvement of the right gluteus maximus muscle. This lesion is seen to extend into the right ischio-rectal fossa.
There is a probable small collection of fluid around the right ischial tuberosity. Also seen is slight fluid within the right hip joint.
The femoral heads and sacro-iliac joints bilaterally and the left acetabulum are unremarkable.
The MRI features are suggestive of a pathologic process involving the acetabulum and ischial tuberosity on the right side with soft tissue extensions as described. This is not specific for a single diagnosis. The differential diagnosis would include :
a. Infective processes.
b. Neoplastic processes - less likely.