56-year-old male with history of pain. Left hip: Mild osteoarthritis affects the left hip. There is faint sclerosis of the left femoral head likely representing avascular necrosis which was evident on the prior MRI exam. There is no evidence of subchondral fracture or articular surface collapse.Right hip: Mild osteoarthritis affects the right hip. Alignment is anatomic. There is no specific evidence of avascular necrosis.Pelvis: Redemonstrated are the aforementioned findings of avascular necrosis in the left femoral head and bilateral degenerative changes. There is a right common iliac stent. Surgical clips project over the lower right ischium.Left fifth toe: There is a nondisplaced transverse fracture through the proximal diaphysis of the fifth proximal phalanx in near-anatomic alignment. Mild soft tissue swelling about the toe.
1.Fifth toe fracture as above.2.Osteoarthritis of bilateral hips with findings suggestive of avascular necrosis of the left femoral head.Findings discussed with Dr. Kang at 1630 on 1/19/15.