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Man 43 yo, one week ago, pain at  his left  hip
 while moving his thigh, no trauma history.
Ultrasound first saw  the  left hip joint
 having a small amout of fluid collection  and  more  Power Doppler in muscles  around the hip ( see 4 US images).
MSCT was done but radiologist said nothing abnormal
detected.
MRI detected abnormal head of left  femur  bone  looked like  aseptic necrotic femoral head.
Please compare  diagnostic values of 3 diagnostic modalities
for this case:ultrasound, MSCT and MRI.
DISCUSSION:
In this case ultrasound first saw abnormal edema in the left hip joint. CT scanning cannot detected at the early stage of head femoral AVN disease ( AVN, avascular necrosis). MRI was the best imaging modality for diagnosing AVN in this case. Early diagnosing may cause good response to medical treatment.
DISCUSSION:
In this case ultrasound first saw abnormal edema in the left hip joint. CT scanning cannot detected at the early stage of head femoral AVN disease ( AVN, avascular necrosis). MRI was the best imaging modality for diagnosing AVN in this case. Early diagnosing may cause good response to medical treatment.






 
 
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