Female 85 years old with inflammation and severe pain in low back and left hip, evaluate for osteoarthritis Please note that the patient aborted the study before all pre-contrast sequences could be completed. No post-contrast sequences were performed.BONE MARROW: Bandlike signal abnormalities within the left sacral wing adjacent to the SI joint noted. There is similar but less extensive signal abnormality in the left superior iliac wing adjacent to the SI joint. There is also edema within the body and the superior ramus of the left pubic bone with edema in the adjacent adductor musculature of the hip. Based on location and morphology of these foci of signal abnormalities, we suspect they represent fractures, perhaps insufficiency fractures if there is no history of trauma. The bone marrow signal intensity is otherwise within normal limits.JOINTS: Trace fluid in in the left hip without frank effusion. There is a small amount of fluid in the right hip joint likely within normal limits.SOFT TISSUES: Other than the aforementioned edema of the left hip from a suspected stress fracture, the remaining visualized musculature is normal for age. ADDITIONAL
Limited study showing edema within the sacral ala bilaterally as well as the right pubic bone. Given the location and morphology of edema we suspect these represent fractures, perhaps stress fractures if there is no history of trauma.