Date : 00.00.0000
Name of the Patient : Abc Xyzlmn / F / 40 yrs.
Referred by : Dr. Abc Xyzr Jawadwala.
Examination : M.R.I. of the Hips & Upper Femora.
CLINICAL PROFILE :
C/O pain in the right thigh (inner side) since 15 days.
M.R.I. of the hips and upper femora 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 and GRASS sagittal images.
There is evidence of a fairly well-defined, mass lesion involving the upper metaphysis of the right femur. This lesion is hypointense on the T1 Weighted images and turns hyperintense on the GRASS, STIR and T2 Weighted images. It is seen to erode the cortex laterally with slight extension into the right vastus lateralis muscle.
Another similar lesion is seen to involve the greater trochanter of the left femur.
Multiple, fairly well-circumscribed lesions with similar signal characteristics are seen to involve the bones of the visualized pelvis, right femoral head, the mid-shaft of the right femur and the diaphysis of the left femur.
The hip joint space per se, on either side are unremarkable.
- 2 - Scan-00005
The MRI features are suggestive of multiple lesions involving the pelvic bones and the femora bilaterally as described. The differential diagnosis would include :
a. Neoplastic processes like,
(ii) Small cell tumors like multiple myeloma or lymphoma.
b. Infective processes like multifocal tuberculosis (especially in view of past h/o pulmonary tuberculosis).
A biopsy from the site of the lesion may be worthwhile.