Left hip pain. Left lower extremity weakness. Evaluate for fracture/dislocation. The bones appear demineralized suggesting osteopenia. Mild osteoarthritis affects the left hip. The left femur is held in external rotation, limiting evaluation of the femoral neck. I see no fracture line. There is mild irregularity of the cortex along the lateral aspect of the femoral neck that I suspect represents osteophyte formation, as the underlying trabeculae do not appear disrupted; however, if there is strong clinical concern for femoral neck fracture, then MRI is recommended. Mild osteoarthritis affects the right hip. Osteoarthritis also affects both sacroiliac joints and the lower lumbar spine.
Mild irregularity of the cortex along the lateral aspect of the femoral neck is favored to represent osteophyte formation, as the underlying trabeculae do not appear disrupted; however, if there is strong clinical concern for femoral neck fracture, then MRI is recommended.