15-year-old female with history of sickle cell disease and with sports related left hip pain for 2 to 3 days. Evaluate for labral tear. Bilateral femoral heads are well directed within the acetabula without evidence of abnormal signal within the femoral heads or femoral head collapse to suggest avascular necrosis. No evidence of acute fracture or malalignment. No labral abnormalities noted bilaterally. Sacroiliac joints appear normal. No evidence of an avulsion injury. The visualized tendons are normal.No evidence of increased T2 signal within the musculature to suggest strain or sprain.Physiologic cysts in bilateral adnexa are noted. Small amount of free fluid, likely physiologic in etiology. No additional abnormality within the visualized pelvis and abdomen is noted.
No evidence of labral tear or other findings to account for patient's left hip pain. If there is continued concern for a left hip labral tear, further evaluation with a left hip arthrogram MRI may be considered as clinically indicated.