Reason: evaluate for sacroiliitis. L sided hip pain x 10 years History: pain in L hip The sacroiliac joints appear normal without fluid or enhancement to suggest sacroiliitis. We see no frank bone marrow edema within the adjacent sacrum or iliac wings. Adjacent to the right third sacral nerve root at the level of the second neural foramen is a small Tarlov cyst. Mild degenerative disc disease affects the level of L5/S1. There is a mild diffuse disc bulge posteriorly at this level, although this exam was not protocoled for evaluation of the lumbar spine. The hip joints are not visualized in their entirety, but the portions included in this examination appear normal.
1. No evidence of sacroiliitis.2. Mild degenerative disc disease and disc bulge at the level of L5/S1 which would be better evaluated with a dedicated MRI of the lumbar spine if clinically warranted.