Right hip pain, on anticoagulation. Mild osteoarthritis affects the right hip joint. I see no large joint effusion. Poorly defined sclerosis within the anterior aspect of the right femoral head suggests avascular necrosis; I see no subchondral fracture or articular surface collapse. There is slight prominence of the anterolateral aspect of the femoral head/neck junction suggesting a CAM deformity. Similar findings of mild osteoarthritis, avascular necrosis and CAM deformity are noted affecting the left hip. Severe degenerative disk disease affects the visualized lower lumbar spine. Given the limitations of an unenhanced study, the soft tissues appear normal. I see no mass or hematoma.
Mild osteoarthritis of the right hip with avascular necrosis of the femoral head. This can be further evaluated with MRI if clinically warranted. Other findings as above.