Presentation
Bilateral hip pain.
Patient Data
Age: 30 years
Gender: Male
From the case:
Avascular necrosis of the femoral heads
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Serpentine line of a low signal on T1, double-line sign on STIR outlining necrotic areas of the femoral heads with surrounding bone marrow edema. No significant flattening of the upper articular surface or femoral head deformity. Mild joint effusion is noted bilaterally.
No evidence of secondary osteoarthritic changes.
Case Discussion
MRI features of bilateral osteonecrosis (or avascular necrosis) of the femoral head, grade II according to Ficat and Arlet classification of osteonecrosis of the femoral head.
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