92-year-old female with ongoing left hip pain and mild osteoarthritis on recent radiographs. Mild osteoarthritis affects the left hip. There is a small amount of fluid within the joint, but no frank joint effusion. Evaluation of the labrum is limited due to lack of intra-articular contrast, however, there is linear intermediate signal intensity traversing the superior labrum suggesting a tear. There is severe fatty atrophy of the gluteus minimus muscle bilaterally. There is mild atrophy of the left gluteus medius muscle. On the large field-of-view images, there is mild osteoarthritis of the right hip. Severe degenerative disc disease and facet joint osteoarthritis affects the lower lumbar spine with spinal stenosis that could be better evaluated with dedicated spine imaging if clinically warranted. There is mild increased signal intensity within the adductor musculature and gluteal musculature of the hip, on T2-weighted images, which may reflect early denervation atrophy with a mild myositis considered less likely. We see no findings to suggest a stress fracture. The bone marrow signal intensity is within normal limits.
1. Mild osteoarthritis of the left hip.2. Severe degenerative disc disease and osteoarthritis of the lower lumbar spine and other findings as described above.