Lateral hip pain The left ischiofemoral space is markedly narrowed (4 mm) with edema and tiny foci of fluid within the intervening soft tissues. These changes contact the anterior margin of the sciatic nerve and there is fatty atrophy of the quadratus femoris. Additionally, there is tendinosis and partial tearing of the hamstring tendons at their origin of the ischium which is of uncertain clinical significance. Mild edema is also noted lateral to the greater tuberosity which may reflect a component of mild inflammation but is commonly seen in asymptomatic patients. Evaluation of the acetabular labrum is limited given the lack of intra-articular contrast however there is a band of intermediate signal intensity traversing the anterior labrum, suspicious for tear. Minimal osteoarthritis of the left hip is noted.There are similar findings of ischiofemoral impingement on the right with similar degeneration and partial tearing of the hamstrings at the origin of the ischium. Similar increased signal is noted along the greater tuberosity which again could be of no clinical significance.Mild degenerative arthritis of the pubic symphysis is noted and there is severe degenerative disc disease of the lumbar spine.
1. Imaging features of bilateral ischiofemoral impingement.2. Although evaluation of the hip joint is limited by lack of intra-articular contrast, there is suspected tearing of the anterior labrum.3. Mild edema along the lateral aspect of the greater tuberosity bilaterally which is of uncertain clinical significance.4. Degeneration and partial tearing of the hamstrings tendons at their origins which again is of questionable clinical significance.5. Degenerative arthritis of the lower lumbar spine with additional findings described above.