70-year-old male with a history of right hip replacement presents with recurrent fevers and right hip pain. Evaluate for signs of infection. Suboptimal evaluation of the right hip due to the patient's inability to tolerate the examination. Metallic susceptibility artifact from the patient's right total hip arthroplasty device limits evaluation of the right hip. Note is made of the hardware components of a right total hip arthroplasty device in near anatomic alignment. The distal extent of the femoral component is not included in the field-of-view. No findings to suggest loosening or periprosthetic infection, within the limitations of this examination. There is no large joint effusion evident. No findings to account for the patient's pain. No focal fluid collection is identified to suggest abscess formation. There is mild fatty infiltration of the musculature of the right hip. The imaged musculature is right hip is otherwise normal in appearance. There is a small amount of fluid within the left hip which is likely of no current clinical significance. Severe degenerative disc disease affects the imaged lower lumbar spine. Subcentimeter lobulated focus of fluid signal intensity within the intertrochanteric region of the left femur likely represents an enchondroma. No additional bone marrow signal abnormality is identified.
Limited examination demonstrating the components of a right total hip arthroplasty device without findings to account for the patient's symptoms. Severe degenerative disc disease of the lower lumbar spine.