Reason: r/o fracture History: pain tenderness s/p trauma Rib series:A marker was placed along the lateral aspect of the left rib cage. There is a mildly displaced fracture through the anterior aspect of the left sixth rib.Left hip:There is patchy lucency and sclerosis in the femoral head indicating avascular necrosis. There is also narrowing of the hip joint indicating moderate to severe osteoarthritis. We see no acute fracture. If there is strong clinical concern for fracture, MRI may be considered.
1. Minimally displaced fracture of the anterior aspect of the left sixth rib.2. Avascular necrosis of the left femoral head with osteoarthritis of the left hip, but no acute fracture is evident. If further imaging is clinically warranted, MRI could be considered.These findings were relayed to Dr. Pursell by phone at 1:45 PM on 4/5/2016.