Pelvic/hip pain with negative x-rays. Evaluate for abnormality to account for pain. Per conversation with ordering physician, though not included on the history request, concern for mass lesion status post lumbar MRI. Study was performed with contrast for this reason. The right hip joint is anatomically situated within the right acetabulum without evidence of femoral neck or pelvic fracture. Hip joint space is relative well-preserved and there are no large marginal osteophytes. Sacral arcuate lines are intact without CT evidence for insufficiency fracture. Degenerative spurring is noted at the pubic symphysis and there is vacuum gas and spurring at the SI joints indicating mild degenerative change.There is no mass lesion within the pelvis or hip girdles. There are no enlarged lymph nodes.The adductor, hamstring and gluteal musculature are within normal limits for CT technique.Non-specific stranding is noted in the posterior subcutaneous soft tissues on the most inferior CT cut on the left, perhaps denoting mild inflammation.Moderate to severe disk and endplate degenerative changes are noted at L4 L5 and L5-S1 with broad based disk bulges. No neuroforaminal compromise is appreciated on the sagittal images, but correlation with recent MRI of the lumbar spine is advised.
1.No evidence of mass lesion or other pathology to account for the patient's symptoms.