Name of the Patient : Abc XyzSalulmn / M / 35 yrs.
Referred by : Dr. Abc Xyzle.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in the right hip and RLE since 1 year with a limp.
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.
There is collapse and loss of normal contour of the head of the right femur. Replacement of the normal marrow of the superior quadrant of the head of the right femur by hypointense areas which are seen to turn heterogeneously hypointense on the T2 Weighted images. The double line sign is noted. Slight thinning of the articular cartilage of the right femur is noted. Effusion is noted within the right hip joint.
The left femoral head and the acetabulum reveal normal signal intensity. There is no obvious bony destruction or erosion noted. The articular cartilages is unremarkable on the left side. There is no effusion within the left hip joint.
The musculature surrounding both the hip joints and the visualized pelvis is normal.
The MRI features are suggestive of Class C/Class D avascular necrosis (Mitchells classification) of the right femoral head with right hip joint effusion as described.