Severe right hip pain ACETABULAR LABRUM: Evaluation of the labrum is limited due to lack of intra-articular fluid/contrast. However, there is linear intermediate signal intensity traversing the base of, and extending into the substance of, the anterior/superior labrum, suggestive of a complex tear. This tear appears to extend from the posterior superior aspect of the acetabulum at approximately the 11 o'clock position, to the anterior aspect of the acetabulum at approximately the 3 o'clock position.ARTICULAR CARTILAGE AND BONE: Mild increased signal intensity of the articular cartilage along the anterosuperior aspect of the acetabulum suggests degeneration, although I see no discrete fluid-filled defect. Small cysts are noted within the anterior margin of the acetabular dome, likely degenerative in etiology. Bone marrow signal intensity is otherwise within normal limits. I see no frank CAM deformity or findings to suggest acetabular overcoverage.SOFT TISSUES: The visualized musculature appears normal. ADDITIONAL
1.Right acetabular labral tear as described above.2.Degenerative arthritic changes of the lumbar spine.3.Bilateral adnexal collections of fluid signal intensity, that on the left measuring approximately 3 mm. This likely requires no further evaluation if he patient is premenopausal. If the patient is postmenopausal, then follow-up transvaginal ultrasound may be considered.