peds femoral head finding help

Anyone with any good insights into the signal changes in the femoral epiphyses of this 14 yo pediatric pt? Sort of serpiginous low t1/t2 signal outline with central fatty marrow and no double line sign. MR was for right hip pain. I was thinking maybe reparative phase of Legg calve perthes?

Thanks in advance.

-micah

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2 thoughts on “peds femoral head finding help”

  1. OCAD

    Was the patient ever on spica treatment for DDH? The process seems to
    be symmetric and bilateral. It could be sequelae from proximal femoral
    growth disturbance.

    Jenny B

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