50-year-old female with pain in left ASIS and left iliac crest after fall in June 2015. Evaluate for occult fracture. The anterior superior iliac spine as well as the sartorius origin and the iliotibial band appear intact. The bone marrow signal intensity is within normal limits. Evaluation of the acetabular labrum is limited due to the lack of intra-articular contrast, however, there is a thin band of intermediate signal intensity traversing the anterior labrum at approximately the 2 o'clock position, suggestive of a tear. There is mild degeneration of the articular cartilage of the hip. There is a small focus of heterotopic ossification seen within the gluteus minimus muscle, lateral to the femoral head, which may reflect old trauma. The gluteus minimus tendon itself appears intact. The sacroiliac joints are within normal limits. There are mild peritrochanteric inflammatory changes identified bilaterally which are not necessarily of clinical significance. There is a collection of near fluid signal intensity, posterior to the uterus, which may represent an adnexal cyst, but this is nonspecific on this nonenhanced examination.
1. Mild osteoarthritis of the left hip with a tear of the anterior labrum. We see no occult fracture or other findings to account for the patient's left iliac crest or ASIS pain.2. Nonspecific collection of near fluid signal intensity posterior to the uterus, which may represent an adnexal cyst, but is nonspecific on this nonenhanced exam. Further evaluation with dedicated transvaginal pelvic ultrasound examination is recommended.3. Other findings as described above.