Patient with pain, evaluate for fracture. Right hip:Severe degenerative changes, including joint space narrowing, subchondral cyst formation, and subchondral sclerosis affect the right hip. There is no discrete evidence of fracture or dislocation, however if there is continued clinical concern for fracture, MRI or CT could be considered.Pelvis:Mild degenerative changes affect the left hip. Severe degenerative changes of the lower lumbar spine are partially imaged. There is moderate degenerative changes of the bilateral sacroiliac joints and pubic symphysis.
Severe osteoarthritis of the right hip without evidence of fracture. However, if there is continued clinical concern for fracture, CT or MRI may be considered.