74-year-old male with history of metastatic lung cancer, right hip pain and unsteady gait. Note is made of multiple foci of abnormal marrow signal and enhancement within the right ischium, right and left iliac wings, sacrum, left lesser trochanter, and right proximal femoral diaphysis. For reference purposes, a lesion within the posterior/medial right ilium measures 3 cm in greatest dimension. We see no fracture.Mild osteoarthritis affects the right hip. There is increased signal intensity traversing the superior labrum compatible with tear with adjacent lobulated fluid signal intensity lesion likely representing a para-labral cyst. Increased signal intensity within the anterior labrum likely represents a combination of degeneration and tearing. There is a 1 cm ossicle anterior to the superior aspect of the femoral head, perhaps representing an old fractured osteophyte. There is minimal enhancement of the hip joint suggesting mild synovitis, although we see no frank joint effusion.Mild osteoarthritis affects the left hip with adjacent para-labral cysts suggesting an underlying labral tear. Moderate multilevel degenerative disk disease affects the lower lumbar spine. There is mild muscular atrophy of the gluteus minimus bilaterally.
1.Multiple metastatic lesions as described above.2.Osteoarthritis of the right hip with superior labral tear.3.Other degenerative changes as above.