Reason: S/P SCFE Evaluation of the right hip is slightly limited due to metallic susceptibility artifact, resulting from an orthopedic screw in the femoral neck.ACETABULAR LABRUM: Evaluation of the labrum is somewhat limited due to metal susceptibility artifact, however, given this limitation, there is increased signal intensity within the undersurface of the anterior labrum, extending from the 2 to 3 o'clock position, suggesting an undersurface labral tear. The location of the tear, beneath the crossing of the iliopsoas tendon, suggests the possibility of iliopsoas impingement. A possible second tear along the posterior superior labrum, at approximately the 11 o'clock position, is seen on image 14 of series 901.ARTICULAR CARTILAGE AND BONE: Deformity of the femoral head, related to the patient's known slipped capital femoral epiphysis, results in a CAM-type deformity along the anterior and lateral aspects of the femoral head/neck junction, however, the aforementioned metallic susceptibility artifact precludes accurate measurement of an alpha angle. Evaluation of the articular cartilage is likewise limited, but we see no large fluid-filled defect. The remainder of the bone marrow in the pelvis appears normal. SOFT TISSUES: The soft tissues appear normal.
1. Evaluation of the right hip is slightly limited due to metallic susceptibility artifact, resulting from an orthopedic screw in the femoral neck.2. CAM-type deformity resulting from patient's known slipped capital femoral epiphysis.3. Suggestion of labral tearing, as above.