Reason: R hip FAI / labral tear. Had 2 prior hip scopes History: R hip pain ACETABULAR LABRUM: We see no gadolinium entering the substance of the acetabular labrum. There is linear and globular intermediate signal intensity partially traversing the labrum from the 2:00 to 3:00 position anteriorly that is compatible with a tear that is perhaps scarred. More superiorly at the 1:00 position anteriorly the labrum is blunted with increased signal intensity, which may reflect a combination of postsurgical changes and degeneration. Posterior labrum is intact.ARTICULAR CARTILAGE AND BONE: There is scalloping at the femoral head/neck junction suggestive of osteoplasty. The underlying bone marrow signal is normal. We see no frank CAM deformity. There is perhaps mild degeneration of the cartilage near the fovea, which is equivocal. Tubular signal abnormalities in the acetabulum presumably represent sites of suture anchors.SOFT TISSUES: There is a large defect in the anterior capsule of the hip,. The ligament of teres is not well visualized, which may represent congenital absence or tear. There is edema in the anterior soft tissue related to injection. Otherwise, the musculature of the hip appear normal. ADDITIONAL
1. Surgical changes of the right hip as described above.2. Although no gadolinium is seen entering the substance of the labrum, there is intermediate signal intensity in the labrum which may represent a tear. However, we cannot determine if this is a chronic tear of no current clinical significance or the current source of her symptoms.3. Ligamentum teres is not well visualized, which may represent congenital absence or tear.