File:Avascular necrosis - bilateral femoral heads (Radiopaedia 65159-74167 Coronal T2 19).jpg

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Summary:

Description	Radiopaedia case ID: 65159 Image ID: 44961470 Image stack position: 19/20 Plane projection: Coronal Aux modality: T2 Modality: MRI System: Musculoskeletal Findings: Bilateral femoral heads show geographic areas of abnormal signal intensity involving the superior articular surface, with the right femoral head more severely affected. On the right side, the area of abnormality is a mixed signal pattern, with areas of high and low signal on the T1 and T2 weighted images. Specifically, there is a serpentine low signal intensity line surrounding the central abnormal signal representing the reactive interface that separates normal marrow from infarcted marrow. The STIR images show ill-defined zone of marrow edema extending to the femoral neck. There is articular surface flattening and cortical irregularity. Narrowing of the lateral aspect of the joint space is seen. On the left side, the area of bone necrosis corresponds to a fat-signal pattern on the different pulse sequences. The double line sign is more distinct on the left side, where the boundaries of the lesion have an outer dark signal layer and inner bright signal layer. According to Ficat & Alert classification, right grade III and left grade II AVN of the femoral heads.
Date	Published: 19th Jan 2019
Source	https://radiopaedia.org/cases/avascular-necrosis-bilateral-femoral-heads-1
Author	Sameh Saied Ali
Permission (Permission-reusing-text)	http://creativecommons.org/licenses/by-nc-sa/3.0/

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current	16:27, 4 June 2021		512 × 512 (123 KB)	Fæ (talk \| contribs)	Radiopaedia project rID:65159 (batch #3339-39 B19)

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