sb/bv/nl/rg.

Name of the Patient : Abc Xyz lmn / M / 48 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

Alleged H/O fall from a scooter.
C/O backache with pain in the right gluteal region and RLE with paresthesias.

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 axial images.

5 mm thick Proton density sagittal images.

OBSERVATION :

There are well marginated, nearly symmetric hypointense lesions on the T1 Weighted images in the superior and anterior quadrants of the femoral heads on either sides. These lesions remain predominantly hypointense on the T2 Weighted and STIR images. These lesions do not reach upto the articular surface. The lesion on the left side shows evidence of focal fat signal within, on all the pulse sequences. There is no evidence of perilesional edema on either side. The double line sign is not seen.

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.
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- 2 - Scan-00000


The musculature surrounding both the hip joints is normal.

Screening, T1 Weighted sagittal images of the lumbo-sacral spine do not reveal any significant feature of note.

IMPRESSION :

Altered signal in the femoral heads on either side is not specific for a single etiology. These changes may represent areas of sclerosis/fibrosis.