Reason: eval glut medius History: pain The lateral and main components of the left gluteus medius tendon can be seen inserting on the greater trochanter. The tendon appears slightly thickened and there is a high signal intensity cleft between the main and lateral components of the tendon just proximal to its insertion, which is compatible with a partial thickness tear. There is mild edema within the adjacent muscle and soft tissues. The gluteus minimus tendon appears slightly thickened on the left, which may represent mild tendinosis. The gluteus maximus muscle appears normal. The remaining musculature of the left hip appears normal.Mild osteoarthritis affects the left hip and bilateral SI joints. Although this study was not protocoled for detailed evaluation of the labrum, there is increased signal within the superior labrum which may represent degeneration/degenerative tearing. Similar findings affect the right hip as seen on the large field-of-view images. Mild-to-moderate degenerative disc disease affects lower lumbar spine. There is a transitional lumbosacral vertebra. On the large field of view images, bone marrow signal intensity is within normal limits.The uterus is not visible, presumably due to resection. There is a rounded left adnexal structure measuring just under 4 cm in greatest dimension with heterogenous signal intensity including bright areas on T1 weighted images and dark areas on T2-weighted images, suggestive of blood products of differing ages. This could represent a hemorrhagic cyst or endometrioma. A similar but smaller collection is noted to the right of midline. Further evaluation with gynecologic ultrasound is recommended.
1. Partial tear of the gluteus medius tendon at its insertion.2. Heterogenous adnexal collection may represent a hemorrhagic cyst or endometrioma, but evaluation is limited due to lack of intravenous contrast. Further imaging with gynecologic ultrasound is recommended.3. Osteoarthritis of the hips and other findings as described above.