Left hip pain Mild osteoarthritis affects the hip. There is linear low signal intensity within the anterior superior articular cartilage of the hip which may reflect degeneration and possibly delamination but there is no discrete fluid-filled articular cartilage defect. There is minimal increased signal intensity of the anterior labrum suggesting degeneration but there is no discrete fluid-filled tear. There is no gross CAM deformity. There is no joint effusion and the bone marrow signal intensity is normal.There is minimal increased signal intensity of the distal fibers of the gluteus medius tendon at its insertion suggesting tendinosis or chronic insertional tearing however this is not necessarily of any current clinical significance. Similar findings are noted are seen on the right as demonstrated on the large field-of-view images.Evaluation of the lower lumbar spine is limited secondary to metallic susceptibility artifact from lumbar fixation. There is mild osteoarthritis of the pubic symphysis. A collection of near fluid signal intensity measuring 1.5 cm is seen immediately anterior to the pubic symphysis and deep to the pre-pubic aponeurotic complex. This was not present on the prior MRI images and it is uncertain whether this represents a synovial cyst arising from the symphysis or is secondary to chronic injury of the aponeurotic complex itself.
1. Mild osteoarthritis of the left hip and pubic symphysis.2. Mild increased signal intensity within the insertional fibers of the left gluteus medius on the greater tuberosity which may reflect tendinosis or chronic tearing. A similar finding is noted on the right but is not necessarily of any current clinical significance.3. Small collection of near fluid signal intensity anterior to the pubic symphysis which may represent a synovial cyst or chronic injury to the pre-pubic aponeurotic complex.