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Name of the Patient : Abc Xyze Tlmn / F / 23 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in the inner part of the right thigh since 15 days.
Biopsy was done on 00.00.0000.

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 T2 Weighted sagittal images.

OBSERVATION :

There is still seen a fairly large, approximately 12.5 x 11.7 x 8.7 cms sized well marginated, lobulated mass lesion involving the right acetabulum. This lesion is of intermediate signal intensity on the T1 Weighted images and appears hyperintense on the T2 Weighted, Fast Scan (T2 *) and STIR images. The lesion on the T2 Weighted and STIR images is seen to be constituted by multiple, smaller, well-defined cystic lesions. Fluid levels are noted within some of these cystic lesions. There is a fairly large, approximately 3.0 x 5.0 x 3.0 cms sized hyperintense lesion on all the pulse sequences within the superior aspect of this lesion. This signal change may represent hemoglobin breakdown products/high proteinaceous content.

The lesion is seen to involve the iliac, ischial and pubic bones and extends into the superior and inferior pubic rami on the right. The lesion extends into the right half of the pelvis and displaces the rectum and anal canal, uterus and the urinary bladder to the left of the midline. The fat planes around the lesion and the pelvic organs are however well maintained. There is no extension of the lesion into the hip joint per se. No obvious vascular encasement is noted. There are no abnormally enlarged pelvic lymph nodes identified.
..2/.



- 2 - Scan-00000


Hyperintense signal is noted on the T2 Weighted and STIR images lateral to the glutues maximus muscles ? intramuscular injection.

The femoral heads on either side and left acetabulum reveal normal contour and signal characteristics.

IMPRESSION :

A fairly well-defined 12.5 x 11.7 x 8.7 cms sized mass lesion involving the right acetabulum may represent a giant cell tumor or an aneurysmal bone cyst.

As compared to the previous MRI (Study No.00001) dated 00.00.0000
there is increase in the size of the lesion.
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