Appearance of TB Hip following treatment

Findings-There is evidence of erosive osseous destruction involving the acetabulum & medial articular surface of left femoral head. There is synovial collection in relation to the left hip Minimal marrow edema is identified to erosive lesions in relation to the left hip along with area of patchy sclerosis. Fluid is identified in the left ilio psoas bursa.
Opinion- On treatment follow up case of TB left hip reveals:- Erosions involving the acetabulum & femoral head with minimal marrow edema and patchy sclerosis in left hip with synovial collection & fluid signal in ilio psoas bursa. Findings are consistent with partially treated tubercular hip.

Dr.Sumer K Sethi, MD

Sr Consultant Radiologist ,VIMHANS and CEO-Teleradiology Providers

Editor-in-chief, The Internet Journal of Radiology

Director, DAMS (Delhi Academy of Medical Sciences)

Tuberculosis of Hip-Osteoarticular Involvement

Findings-There is evidence of osseous destruction and altered marrow signal intensity involving the left hip, acetabulum & femoral head / neck appearing hypointense on T1WI and heterogeneously hyperintense on T2 / fat sat T2WI, there is evidence of synovial collection in relation to the left hip. Left hip joint space is reduced.

Opinion- Osseous destruction & marrow edema involving the bones forming the left hip articulation along with synovial collection & reduced joint space. Findings are consistent with infective etiology, likely tuberculosis. Clinical & laboratory collection is advised.

Dr.Sumer K Sethi, MD

Sr Consultant Radiologist ,VIMHANS and CEO-Teleradiology Providers

Editor-in-chief, The Internet Journal of Radiology

Director, DAMS (Delhi Academy of Medical Sciences)