Right anterior superior iliac spine and groin pain. Evaluate for lesion or pathologic fracture. Evaluation of the lower lumbar spine and sacrum and adjacent soft tissues is limited by metallic artifact related to posterior fixation hardware.PELVIS:The right anterior superior iliac spine and its tendinous attachments appears normal.There are mild osteoarthritic changes of both hips.There is mild peritrochanteric edema and enhancement bilaterally which is not necessarily of any clinical significance.Although this study was not protocoled for detailed evaluation of the labrum, there is a tiny collection of fluid signal intensity adjacent to the right posterosuperior labrum with intra-osseous extension; these findings suggest an underlying labral tear.There are multiple foci of metallic susceptibility artifact within the soft tissues of the right groin suggesting prior surgery. In the same vicinity there are 2 adjacent collections of abnormal signal intensity medial to the femoral vessels and anterior to the superior pubic ramus measuring approximately 3 cm in greatest dimension. They are isointense to muscle on T1-weighted images, heterogenously isointense-to-hyperintense to muscle on T2-weighted images, and show mild enhancement following contrast administration. We suspect these represents postoperative changes related to a possible hernia repair but correlation with the patient's surgical history is recommended as we cannot exclude the possibility of a mass in this location.
1.Postoperative changes of the right groin region may reflect prior hernia repair. A collection of abnormal signal intensity in the right groin may represent a hernia plug. Correlation with surgical history is recommended as we cannot entirely exclude the possibility of a mass at this site.2.2. Mild osteoarthritis affects the right hip. Although this study is not protocoled for detailed evaluation of the labrum, there appears to be a small paralabral cyst with extension into the acetabulum which may reflect a labral tear.3.3. Postoperative changes of the lumbosacral spine.4.4. No evidence of fracture.