Reason: r/o infection source or injury. History: 27yo female with new onset of right hip pain and weakness, now walking with a cane. No pmhx outside of working in a labor intensive job. She also has one bottle of positive blood culture. There is a right hip joint effusion with synovial enhancement. Edema type signal and enhancement is seen within the surrounding musculature including the abductors, quadriceps, iliopsoas and gluteal musculature. No discrete fluid collection is seen to suggest abscess formation. The underlying bone marrow signal is unremarkable.
Right hip joint effusion with synovial enhancement and enhancement within the surrounding musculature is nonspecific and has a differential ranging from infection to connective tissue disease. Further evaluation with joint aspiration is recommended.