Left hip pain. Gluteus medius tear, trochanteric bursitis? There is minimal edema within the soft tissues lateral to the greater trochanter, probably within the distal fibers of the gluteus medius muscle; however, the gluteus medius tendon appears intact, and I see no frank fluid collection to indicate a trochanteric bursitis. The gluteus minimus and visualized portions of the gluteus maximus appear normal. Although this study was not protocoled for detailed evaluation of the pubic symphysis, increased signal intensity extending anterolaterally from the pubic symphysis along the inferior margin of the prepubic aponeurotic complex indicates tearing of the adductor origins bilaterally. There is mild focal fatty infiltration along the myotendinous junction of the rectus femoris, left greater than right, but I see no edema within either muscle. Severe degenerative disc disease affects L5/S1 with mild adjacent endplate signal abnormalities. Severe degenerative disc disease also affects L3/4, with moderate degenerative disc disease at L4/5. A small focus of signal abnormality within the right sacral wing adjacent to the SI joint likely is likely degenerative in etiology. Bone marrow signal intensity is otherwise within normal limits. There is a small amount of fluid within both hip joints, within normal limits. Evaluation of the acetabular labrum is limited on this study, but increased signal intensity in the anterior superior labrum probably represents degenerative tearing.
1.Minimal peritrochanteric edema on the left but no frank bursitis or gluteal tendon tear.2.Severe degenerative disc disease of the lower lumbar spine.3.Bilateral tearing of the prepubic aponeurotic complex/adductor origin, often implicated in "sports hernia".4.Other findings as above.