Reason: Right SI Joint Irritation History: Pain Pelvis:2 tubular foci of signal abnormality within the right ischium presumably represent suture anchors. The semimembranosus tendon can be seen originating from the ischium and appears intact, although it is slightly thickened perhaps representing tendinosis. Although some of the fibers of the conjoined tendon can be seen originating from the ischium on the coronal sequence, the proximal fibers of the conjoined tendon are largely indistinct on the axial sequence with a small amount of fluid signal intensity between the ischium and the tendon suggesting a partial-thickness tear. These findings appear similar to those seen on the prior study. The left hamstring tendons appear intact. The remaining visualized musculature and tendons appear intact. Focus of low signal intensity within the uterus is incompletely characterized but likely represents a uterine fibroid. There is a small amount of free fluid within the pelvis which is likely physiologic. Note is made of an IUD. There is severe degenerative disc disease at the level of L5/S1 and grade 1 anterolisthesis of the L5 vertebral body and what appears to be bilateral spondylolysis of L5. The hip joint alignment is anatomic.Right femur:Again seen are findings suggestive of partial thickness tearing of the conjoined tendon. A small amount of fluid also tracks between the semimembranosus and ischium, although this may simply represent fluid extension from the aforementioned tear of the conjoined tendon rather than a tear of the semimembranosus itself. The bone marrow signal intensity of the femur is normal. The imaged musculature of the right thigh is otherwise unremarkable.
1) Postoperative changes of hamstring repair with findings suggestive of a partial tear of the conjoined tendon.2) Bilateral L5 spondylolysis with spondylolisthesis and severe degenerative disk disease.