Hip avascular necrosis - bilateral

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Left hip pain.

Patient Data

Age: 30 years
Gender: Male

Bilateral abnormal marrow signal intensities in the femoral heads characteristic of avascular necrosis (AVN); a hypointense line adjacent to a hyperintense line with surrounding marrow edematous changes.

Mild and minimal effusions at the left and right hip joints respectively.

Case Discussion

The patient referred to us with a history of chronic left hip pain from 4 months ago with no obvious history of drug consumption, trauma, and underlying disease.  Appearances are those of avascular necrosis of the femoral head on both sides. 

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