Reason: RIGHT HIP PAIN, PLEASE EVALUATE FOR LABRAL TEAR, PLEASE INJECT WITH KENALOG 40MG AT TIME OF MRI ARTHROGRAM History: right hip pain ACETABULAR LABRUM: There is a tear extending through the anterior superior labrum extending from the 1 to 2 o'clock position. Heterogeneity of signal of the posterior labrum suggests degeneration and degenerative tearing.ARTICULAR CARTILAGE AND BONE: We see no full-thickness cartilage defects. The bone marrow signal intensity of the right hip is within normal limits. Mild degenerative disc disease affects the level of L5/S1. Although this examination was not protocoled for detailed evaluation of the lumbar spine, there is also edema within the upper medial right sacral wing that we suspect may be degenerative in etiology.SOFT TISSUES: There is mild peritrochanteric edema bilaterally which is not necessarily of any clinical significance. There is mild edema seen on the coronal fat saturated T2-weighted images situated between the lesser trochanter and ischium, bilaterally, that could reflect ischiofemoral impingement. The hamstring origins appear intact. ADDITIONAL
1. Tear of the anterior superior labrum with additional degeneration/degenerative tearing of the posterior labrum.2. Mild edema between the lesser trochanter and ischium, bilaterally, may reflect ischiofemoral impingement, but the clinical significance of this is uncertain.3. Mild peritrochanteric edema of questionable significance.4. Degenerative arthritic changes of the lumbosacral spine which could be better evaluated with a dedicated lumbar spine MRI examination.