I am 69 years old male inactive from service since last 15 months & settled in Bangalore staying with my daughter. Since early Nov 2016, I was having occasional pain in my left leg (below Hip. That time, I checked with local orthopaedic who diagnosed it as Trochanteric Bursitis and did not suggest any X-Ray. The pain was on & off.In between I checked with neuro physician, Rheumatologist as well as medicine Specialist. Surprisingly,no one suggested for MRI nor x-ray and suggested to take some pain relief tablets/ointment. For the past 5 weeks, due to pain I was practically at bed except for going to washroom. Today I decided to again check with my Rheumatologist and he suggested to have pelvic MRI. The MRI report is attached for your kind perusal. For your information, I was getting treatment for atherosclerosis Scleroderma for the last 20 years and as part of medication, I was taking steroids (wysolone 5 mg/omnacortil 5 mg) once a day. MRI Report is as follows MRI OF HIP JOINTS TECHNIQUE: Multi-planar, multi-sequence imaging of both hip joints was performed. FINDINGS: Geographic signal abnormalities are seen in both femoral heads (anterior and superior portion) demonstrating double line sign with T1 and T2 hypointense outer margin and T2 hyperintense inner margins. Marrow edema in left femoral head and neck. Small effusion is seen on the left. Hip joint space is maintained bilaterally. Normal marrow signals are noted in the acetabulum. Gluteii, iliopsoas, hamstring and short external rotators are intact. STIR hyperintenstiy noted involving the origin of left vastus lateralis muscle - edema. The sacroiliac joints are normal. The pelvic viscera are unremarkable. IMPRESSION: -Avascular necrosis of bilateral femoral head (Ficat and Arlet stage II). -Marrow edema involving left femoral head and neck with mild joint effusion.