Reason: Right hip pain, s/p labral repair PLEASE INJECT WITH KENALOG 40MG AT TIME OF ARTHROGRAM History: right hip pain ACETABULAR LABRUM: There is blunting of the anterior superior labrum that may reflect prior debridement. There is intermediate signal intensity undercutting the superior labrum from the 11-12 o'clock position which may reflect prominent hyaline cartilage. The anterior superior labrum from the 1 to 2 o'clock position, in addition to being attenuated, has an irregular contour with heterogeneous signal intensity. While we see no gadolinium entering the labrum, we cannot exclude chronic tearing at this location. There is intermediate signal intensity along the undersurface of the labrum from the 2 to 3 o'clock position which may represent prior debridement undersurface tearing/fraying. There is a focus of susceptibility artifact at the 2 o'clock position which is presumably postsurgical in etiology. There is intermediate signal intensity within the posterior labrum likely reflecting intrasubstance degeneration.ARTICULAR CARTILAGE AND BONE: Linear foci of low signal intensity are noted within the anterior acetabulum extending to the rim, reflecting prior repair of the labrum. There is scalloping of the anterior aspect of the femoral neck likely representing prior osteotomy.SOFT TISSUES: There is mild edema lateral to the greater trochanter associated with discontinuity of the iliotibial band at this location, likely reflecting iliotibial band release. There is atrophy of the iliopsoas muscle, on the left, presumably also reflecting surgical release. ADDITIONAL
Although we see no gadolinium entering the substance of the labrum, there is abnormal labral morphology and signal intensity as described above likely representing a combination of postoperative changes and chronic tearing. Other findings as described above.