Avascular necrosis of the hip - double line sign

Case contributed by Prashant Gupta
Diagnosis certain

Presentation

MRI done in a known case of bilateral AVN

Patient Data

Age: 50 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Selected T2 coronal image shows a geographic area of altered signal with the double line sign

  • the inner hyperintense line (yellow) represents granulation tissue

  • outer hypointense line (blue) represents combination of reactive bone sclerosis and fibrosis

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