Urothelial cancer with right groin pain The examination is limited motion artifact.Osseous structures: There is mild heterogeneity of the osseous structures but there is no focal area of decreased T1 signal to suggest metastatic disease. There is no evidence of malalignment, fracture, or avascular necrosis. Note that evaluation of the right hip is somewhat limited by motion artifact however there are mild osteoarthritic changes identified.Soft tissues: There is increased fluid signal surrounding the distal aspect of the left gluteus medius. Increased signal on T2 is also noted along the left gluteus minimus adjacent to the iliac wing. The remaining soft tissues and muscles appear normal in caliber and signal. There is increased signal within the pelvis likely relating to prior ileal conduit creation.
1. No evidence of osseous metastatic disease. The right hip appears normal for patient age.2. Increased signal involving the left gluteus medius and minimus which may reflect partial tearing and/or strain respectively.