Reason: R hip pain x 1 yr. Xrays negative. History: see above. ACETABULAR LABRUM: Evaluation of the acetabular labrum is limited due to lack of intra-articular contrast. Although we see no fluid signal intensity entering the labral substance, a thin band of intermediate signal intensity traversing the anterior superior labrum could represent a small tear, but its clinical significance is uncertain. The remainder of the labrum is within normal limits.ARTICULAR CARTILAGE AND BONE: Evaluation of articular cartilage is limited due to lack of intra-articular contrast. There is thinning of the articular cartilage along the posterosuperior aspect of the joint. This suggests minimal osteoarthritis, not unexpected for the patient's age. The bone marrow signal is within normal limits. We see no CAM type deformity or other morphologic features of femoroacetabular impingement. We see no joint effusion.SOFT TISSUES: The muscle and tendons of the hip appear normal. ADDITIONAL
1.Mild cartilage degeneration affecting the right hip, essentially within normal limits for patient's age.2.Possible small anterior superior labral tear of questionable clinical significance. 3.Left adnexal mass that could conceivably represent a fibroid, but we cannot exclude the possibility of an ovarian neoplasm. Recommend transvaginal sonography for further evaluation. This was relayed by phone to Darnice Dismukes, Dr. Peek's nurse, at the time of dictation.