89-year-old female with history of hip fracture, status post right hip replacement, now with left hip pain, inability to ambulate. Evaluate for fracture.IMAGE ACQUISITIONS: Routine high-resolution CT of the left hip was performed without intravenous contrast. There is a nondisplaced fracture the left femoral neck with minimal impaction, which is likely subacute, given lack of effusion or associated soft tissue abnormality. MRI could be considered for further evaluation. Corticated linear lucency through the inferior acetabulum (coronal image 47/93), is consistent with prior fracture. Additional cleft in the articular surface of the superior acetabulum (coronal image 39/93), may also represent prior fracture deformity.Bones are diffusely demineralized. Moderate degenerative changes affect the left hip.Arterial atherosclerotic calcifications are present. Small paraumbilical fat containing hernia is seen.
Left femoral neck fracture is likely subacute. Additional prior acetabular fractures, as described above.