Pelvic pain The examination is limited by motion artifact and inability to optimally position the patient. Tendons: The gluteus medius and gluteus minimus tendinous insertions on the greater trochanter are intact. The iliopsoas tendon is intact. There is increased signal at the attachment of the right hamstring tendons at the ischial tuberosity although the tendinous insertions appear intact.Joints: The hip joints are normal. The sacroiliac joints appear unremarkable and without evidence of erosion or significant degenerative change. There is increased signal within the right pubic symphysis although no discrete fracture is appreciated. Joint effusion/Bursa: No evidence of joint effusion. No significant trochanteric bursitis present.Muscles: There is diffuse atrophy of the pelvic musculature, particularly the gluteal. Increased signal is seen surrounding the hamstring tendons and there is a focus of increased signal with susceptibility artifact overlying the right posterior thigh representing the area of known decubitus ulceration.Bone marrow: No focal marrow replacing lesions are identified. There is no fracture.
1. Essentially normal appearance of the sacrum and hips without evidence of acute osseous abnormality.2. Increased signal at the origin of the hamstrings and surrounding the right posterior thigh which is likely reactive given the known decubitus ulceration in the sacrum.