56-year-old male patient with right lateral hip pain. Evaluate for hip greater trochanteric bursitis versus gluteus medius tear. There is thickening and increased signal intensity within the distal fibers of the gluteus minimus tendon consistent with mild tendinosis. Additionally there is fluid signal intensity between the superior fibers of the gluteus minimus and the anterior facet of the greater trochanter consistent with partial thickness tearing. A small amount of fluid and surrounding enhancement in this region likely reflects a trochanteric bursitis. The gluteus medius muscle and tendon appear grossly intact.No muscle atrophy. No acute fracture.There is increased signal intensity within the anterior superior labrum which likely represents degeneration. Bone marrow signal is within normal limits. The patient is status post prostatectomy.
Tendinosis and partial thickness tearing of the gluteus minimus with trochanteric bursitis.