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Bilateral avascular necrosis (AVN) of the femoral heads

beauregard WCB - MedPix

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Affiliation: Madigan Army Medical Center

ABSTRACT

Diagnosis: Bilateral avascular necrosis (AVN) of the femoral heads

History: Inability to bear weight on right hip with constant, severe, non-radiating pain of abrupt onset. Patient fell yesterday.

Findings: X-ray: Serpntine sclerotic densities in the both femoral heads Nuclear Scan: Focal areas of photopenia in the femoral heads with surrounding mild-to-moderate increased uptake in the subcapital areas and acetabuli. MRI: Serpentine areas of hypointensity seen in the bilateral femoral heads on T2 images. Increased T2 signal seen in the remaining marrow and femoral necks.

Ddx: AVN (Avascular necrosis) Fracture secondary to fall Osteoarthritis

Dxhow: MRI image findings

Exam: Decreased range of motion of right hip secondary to pain. Labs normal.

No MeSH data available.


Avascular necrosis: STIR image.  Bilateral hypointense areas seen in the femoral heads.  Increased T2 signal seen in remaining marrow of femoral heads and femoral necks.  Correlates with the nuclear medicine findings.
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MPX1962_synpic25756: Avascular necrosis: STIR image. Bilateral hypointense areas seen in the femoral heads. Increased T2 signal seen in remaining marrow of femoral heads and femoral necks. Correlates with the nuclear medicine findings.


Bilateral avascular necrosis (AVN) of the femoral heads

beauregard WCB - MedPix

Avascular necrosis: STIR image.  Bilateral hypointense areas seen in the femoral heads.  Increased T2 signal seen in remaining marrow of femoral heads and femoral necks.  Correlates with the nuclear medicine findings.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1962&req=5

MPX1962_synpic25756: Avascular necrosis: STIR image. Bilateral hypointense areas seen in the femoral heads. Increased T2 signal seen in remaining marrow of femoral heads and femoral necks. Correlates with the nuclear medicine findings.

View Article: MedPix Image - MedPix Case

Affiliation: Madigan Army Medical Center

ABSTRACT

Diagnosis: Bilateral avascular necrosis (AVN) of the femoral heads

History: Inability to bear weight on right hip with constant, severe, non-radiating pain of abrupt onset. Patient fell yesterday.

Findings: X-ray: Serpntine sclerotic densities in the both femoral heads Nuclear Scan: Focal areas of photopenia in the femoral heads with surrounding mild-to-moderate increased uptake in the subcapital areas and acetabuli. MRI: Serpentine areas of hypointensity seen in the bilateral femoral heads on T2 images. Increased T2 signal seen in the remaining marrow and femoral necks.

Ddx: AVN (Avascular necrosis) Fracture secondary to fall Osteoarthritis

Dxhow: MRI image findings

Exam: Decreased range of motion of right hip secondary to pain. Labs normal.

No MeSH data available.