Reason: femur pain/ stress fracture? History: pain There are 2 skin markers. One marker is placed over the anterior aspect of the mid femoral diaphysis. Note is made of focal increased bone marrow signal abnormality within the mid diaphysis of the left femur on fluid sensitive sequences with corresponding decreased signal abnormality and T1-weighted images (image 12; series 801), adjacent to the aforementioned skin marker. There is no cortical disruption. These findings are consistent with stress reaction in the correct clinical context. There is an additional skin marker along the lateral aspect of the left hip. Additionally, there is increased signal abnormality about the pubic symphysis, predominantly within the left pubic bone (image 4; series 801). There is minimal if any fluid within the pubic symphysis. These findings could be further evaluated with a dedicated pubalgia protocol if clinically warranted. Additional foci of heterogeneous bone marrow signal abnormality likely represent residual islands of red marrow. The alignment is anatomic. There is a small amount of fluid within the left hip without evidence of a large effusion. The imaged musculature of the left thigh is unremarkable.
1. Findings indicating stress reaction along the medial aspect of the mid diaphysis of the left femur as described above. There is no discrete fracture line at this time.2. Findings indicating osteitis pubis, affecting the pubic bones, left greater than the right. If there is concern for a "sports hernia", these findings could be further evaluated with a dedicated pubalgia protocol MRI, if clinically warranted.