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sb/hs/nl/rg.

Name of the Patient : Abc Xyz Nalmn / M / 24 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in the left hip region since 1 month.

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 Proton density sagittal images.

OBSERVATION :

There is seen a well-marginated, isointense lesion (as compared to normal marrow) on the T1 Weighted images along the anterior margin of the left femoral head, near its junction with the neck. This lesion follows fat signal characteristics on all the pulse sequences. Perilesional hyperintense signal on the T2 Weighted and STIR images in the marrow of the neck of the left femur may represent bone edema. No obvious cortical erosion is noted.

A similar, smaller lesion is noted along the anterior margin of the neck of the right femur.

Minimal fluid is noted in the hip joints on either side.

The acetabulum reveals normal signal intensity bilaterally. The articular cartilages are unremarkable.




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

IMPRESSION :

Focal altered signal along the anterior margin of the head of the left femur at its junction with the femoral neck is not specific for a single etiology. Class A avascular necrosis should be considered. An osteoid osteoma is less likely.

A similar but smaller lesion is noted on the right side.



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