Name of the Patient : Abc Xylmn / F / 25 yrs.
Referred by : Dr. Abc Xyzhru.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in the right hip with slight swelling.
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 7 mm thick T2 Weighted (with fat saturation) axial images.
5 mm thick T2 Weighted (with fat saturation) sagittal images.
Vitamin E capsules were placed as markers at the site of the pain.
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 a small right hip joint effusion.
There is an ill-defined hyperintense signal on the T2 Weighted and STIR images in the muscle planes around the right hip joint, specifically between the tensor facia lata, the rectus femoris and sartorius muscles anteriorly and the ilio psoas muscle, posteriorly, on the right. Similar signal is also noted deep to the gluteal muscles on the right superiorly. The gluteal muscles on the right appear slightly atrophied as compared to the left (scans 105.10 to 105.13, 105.4 to 105.6).
The muscles around the left hip joint are unremarkable.
Incidentally noted is a functional cyst in both the ovaries.
Note is also made of osteitis condensans ilii.
Altered signal in the muscle planes around the right hip joint, as described, is most likely inflammatory in etiology. A small right hip joint effusion is also noted.
The femoral head on either side and acetabulae are unremarkable.