Name of the Patient : Abc Xyz Thlmn / F / 67 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
Alleged H/O fall 10 days back with pain in the left sacral region since then.
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 T1 Weighted sagittal images.
There are hypointense areas on the T1 Weighted images within the left pubic ramus near the symphysis pubis and another near the pubis component of the acetabulum. These are seen to turn hyperintense on the T2 Weighted and STIR images (scans 102.8, 102.12, 103.12, 103.8)
Ill-defined hyperintense area is seen within the left sacral ala on the T1 Weighted images which is seen to turn hyperintense on the T2 Weighted and STIR images. The left sacro-iliac joint per se is unremarkable (scans 105.1-4, 104.1-4).
The femoral head and the acetabulum reveal normal signal intensity bilaterally. There is no obvious bony destruction or erosions noted. The articular cartilages are unremarkable. There is no effusion within both the hip joints.
The musculature surrounding both the hip joints and the visualized pelvis is normal.
- 2 - Scan-00002
Altered signal within the left pubic ramus near the symphysis pubis and another near the pubic component of the acetabulum and within the left sacral ala is most probably due to bone bruise/edema. The possibility of a crack fracture/looser zones in the pubic ramus should be considered.