Right hip pain, prior orthopedic pinning for SCFE Evaluation of the right hip is limited secondary to metallic artifact from the presence of an orthopedic screw. ACETABULAR LABRUM: Within the limits of the exam, there is no evidence of labral tear. There is questionable mildly increased globular signal of the anterior labrum as seen on the radial sequences which may be artifactual in nature but otherwise there is no discrete contrast entering the intrasubstance of the labrum.ARTICULAR CARTILAGE AND BONE: Orthopedic screws are identified through the femoral head neck junction bilaterally. Note that evaluation of the alpha angle and center edge angle is limited on MRI particularly in the presence of susceptibility artifact and the patient position. Within these limits, the alpha angle measures approximately 55-60 degrees and the coronal center edge angle measures 13 degrees.SOFT TISSUES: No significant abnormality noted. ADDITIONAL
1. Limited examination secondary to susceptibility artifact from orthopedic screws. Within these limits, there is no evidence of a discrete labral tear or other specific findings to account for the patient's pain.2. Evaluation of the alpha angle and coronal center edge angle is limited given the susceptibility artifact and patient positioning. Within these limits, the alpha angle measures approximately 55-60 degrees suggesting a mild CAM deformity and the coronal center edge angle measures 13 degrees suggesting some acetabular dysplasia. Note, however, that the accuracy of these measurements is questionable given the limitations described above and dedicated radiographs of the hip can be obtained for more accurate quantification.