37-year-old male with history of cryptococcal infection with lower back and right hip pain. Assess for recurrence of infection and degenerative joint disease Right hip:There is a small amount of fluid within the right hip but no large joint effusion or surrounding inflammatory changes are identified to suggest infection. There are tiny foci of signal abnormality within the lateral aspect of the femoral head which are likely degenerative in etiology. Although this examination was not protocoled for detailed evaluation of the acetabular labrum, the superior acetabular labrum appears enlarged with intermediate signal intensity indicating degeneration. There is minimal edema along the greater trochanter which is of questionable current clinical significance. The musculature of the right hip is otherwise unremarkable.Left hip:There is a small amount of fluid within the left hip but no large joint effusion or surrounding inflammatory changes are identified to suggest infection. There are small foci of signal abnormality within the femoral head which are likely degenerative in etiology. Although this examination was not protocoled for evaluation of the labrum, the labrum appears to be enlarged indicating degeneration. There is also fluid signal intensity within the anterior superior labrum indicating tearing. There is mild edema along the greater tuberosity which is of questionable current clinical significance. The musculature of the left hip is otherwise unremarkable.Note is made of bilateral hydroceles. There is a renal transplant in the right iliac fossa. The sacroiliac joints are within normal limits. Mild degenerative arthritic changes affect the pubic symphysis. Please refer to the dedicated lumbar spine MRI report for additional details regarding the lumbar spine.
Osteoarthritis of the hips and other findings as described above. We see no specific findings to suggest infection.