30-month-old female with history of neonatal infections for evaluation of femur and proximal tibiaEXAMINATION: MRI pelvis, right femur, left femur without IV contrast 12/22/2016 Left femur: A left coxa vara deformity is noted with dysplastic, nonossified femoral head. The left femoral head is mildly laterally and superiorly displaced with moderate uncovering. The left acetabulum appears shallow with asymmetric expansion of fibrofatty pulvinar when compared to the right. No hip joint effusion is present. There is mild irregularity and slanted appearance of the proximal tibial physis along the medial aspect suggestive of growth arrest at the medial aspect. No knee joint effusion is present. No abnormal signal is noted within the musculature and soft tissues.Right femur: The right femoral head is well directed towards the acetabulum. No evidence of dislocation. The right femur is bowed and externally rotated appearing similar to that seen on the prior radiographs. There is mild irregularity and uneven appearance at the distal femoral physis along the lateral aspect suggestive of growth arrest at the lateral aspect. The right distal femoral epiphyseal ossification center is smaller relative to the contralateral side. No hip or knee joint effusion is present. No abnormal signal is noted within the musculature and soft tissues.The visualized portions of the pelvis are within normal limits.
1.Bowing and external rotation of the right femur with irregular appearance of the distal femoral physis suggestive of a growth arrest at the lateral aspect.2.Mildly dysplastic left acetabulum and nonossified and dysplastic left femoral head with coxa vara deformity.3.Irregular appearance of the proximal left tibial physis suggestive of growth arrest at the medial aspect.