Assess for hip osteoarthritis. Tiny right hip joint osteophytes indicate minimal osteoarthritis essentially within normal limits considering the patient's age. There is trace fluid seen in both hip joints but no frank effusion.We see no large fluid-filled articular cartilage defects, nor do we see any subchondral marrow signal abnormalities.There is abnormal signal intensity extending through the anterior labrum indicating a tear of questionable significance in this 77-year-old patient.Bone marrow signal intensity is within normal limits for age.There is mild muscular atrophy compatible with the patient's age. There is minimal edema within the anterior abductor musculature of both hips which is not necessarily of any clinical significance.The right sacroiliac joint appears normal. Mild degenerative arthritic changes affect the left sacroiliac joint. Mild degenerative arthritis also of the symphysis pubis.Severe degenerative disc disease affects the visualized lower lumbar spine, along with a scoliosis is incompletely imaged on this study. There is approximately 1 cm of leftward translation of L4 vertebral body relative to the L5 vertebral body.
Severe degenerative disc disease of the visualized lower lumbar spine with minimal osteoarthritis of the right hip and left sacroiliac joint. Other findings as above.