Bladder cancer and hip pain The examination is limited by motion artifact.There is abnormal marrow signal intensity involving the acetabulum posteriorly which extends into the anterior column as well. These findings are concerning for metastatic involvement. Evaluation for soft tissue component is limited absent intravenous contrast. Abnormal marrow signal is also evident within the inferior pubic ramus relating to a nondisplaced fracture. There is a mild amount of soft tissue edema surrounding both of these sites.Osteoarthritis affects the hips with a small amount of joint fluid present on the right.
Abnormal marrow intensity involving the right acetabulum consistent with malignant involvement. Abnormal signal intensity also involves the inferior pubic ramus where a nondisplaced, presumably pathologic fracture is present.