81-year-old female right hip pain after fall two years ago, rule out dislocation versus labral tear. ACETABULAR LABRUM: There is near complete loss of articular cartilage of the right hip.ARTICULAR CARTILAGE AND BONE: There is near complete loss of articular cartilage of the right hip with near bone-on-bone apposition.SOFT TISSUES: Multiple uterine fibroids are noted. ADDITIONAL
Limited examination due to the patient's inability to tolerate the exam secondary to pain. Heterogeneous high T2 signal and low T1 signal within the right femoral head and neck with associated subchondral collapse and joint effusion, most consistent with avascular necrosis. However, if there is concern for septic arthritis, joint aspiration is recommended.