74-year-old female with a history of ALL with acute right hip pain and unable to bear weight. Assess for AVN versus leukemic infiltration versus infection. There is mild diffuse heterogeneous bone marrow signal abnormality on T1-weighted imaging that is nonspecific and could reflect the patient's known history of leukemia versus residual red marrow. We see no specific imaging features to suggest avascular necrosis or osteomyelitis. We see no findings to suggest abscess formation. The signal intensity of the hip musculature is within normal limits.Mild osteoarthritis affects the right hip. Deformity of the superior labrum likely represents chronic tearing. There are small quantities of fluid within both hip joints which are not necessarily of current clinical significance. We see no inflammatory changes in the adjacent soft tissues. There is high signal intensity within the lower paraspinal musculature which may reflect atrophy.Note is made of Tarlov cysts along the second sacral nerve roots. Mild facet joint osteoarthritis affects the lower lumbar spine. Note is made of multiple uterine fibroids.
Degenerative arthritic changes and other findings as described above, with no specific findings to suggest avascular necrosis or infection.These findings were text paged to Eisha Wali at 3:55 PM on 7/7/2015.