Hip pain for months with weight lifting. Evaluate for labral tear. ACETABULAR LABRUM: There is a thin linear band of intermediate signal intensity within the anterosuperior labrum at approximately the 1:00 to 2:00 position that I suspect represents a small undersurface tear, but the clinical significance of this finding is uncertain, and I see no large fluid-filled tear. The superior labrum also appears slightly blunted in contour, but the clinical significance of this is uncertain.ARTICULAR CARTILAGE AND BONE: The articular cartilage of the left hip appears normal. Bone marrow signal intensity appears normal. There is slight focal prominence of the femoral head/neck junction at the 1:00 position with an alpha angle measuring between 55 and 60 degrees, suggesting a mild cam deformity.SOFT TISSUES: The musculature of the hip appears normal, as do the remaining soft tissues. ADDITIONAL
1.Thin linear intermediate signal intensity within the anterior superior labrum may represent a small undersurface tear, but the clinical significance of this is uncertain, and I see no large fluid-filled tear.2.Very mild cam deformity of the anterosuperior femoral head neck junction.3.Rounded retrouterine collection of fluid signal intensity may represent a cyst, but is not optimally evaluated on this hip nonenhanced hip MRI study. Further evaluation with transvaginal ultrasound is recommended.