Myeloma and back pain. RIGHT HIP: Serpiginous low T1 and high T2/STIR signal in the subchondral femoral head is compatible with avascular necrosis. No femoral head contour irregularity or collapse is present. No fracture or malalignment is present. The labrum is unremarkable. No hip joint effusion is noted. LEFT HIP: Evaluation is limited by artifact from an intramedullary rod and screw device affixing the femur. Serpiginous low T1 and high T2/STIR signal in the subchondral femoral head is compatible with avascular necrosis. No femoral head contour irregularity or collapse is present. No fracture or malalignment is present. The labrum is unremarkable. No hip joint effusion is noted. OTHER: Low T1 signal throughout the visualized bones is compatible with reconverted red marrow. No enhancing osseous lesions are seen to suggest myeloma. The soft tissues and intra-abdominal contents are otherwise unremarkable. Please see the separate complete spine MRI report for evaluation of the spine.
1. Bilateral early avascular necrosis of the femoral heads. 2. No enhancing osseous lesions to suggest myelomatous deposits. 